Patient A/R Specialist

North American Dental Group•Pittsburgh, PA

About The Position

North American Dental Group is looking for a personable, self-motivated, detail-oriented Patient A/R Specialist. This individual will manage patient collections, collection vendor relationships, patient refunds, bankruptcies, unclaimed funds, provide continuing education, develop suggested strategies on patient AR management and balance discrepancy avoidance as well as accuracy review and approval of patient adjustments to bad debt. This role will also be responsible for ensuring quality in throughout all processes and functions performed as it relates to Patient AR accuracy. The Patient Accounts Receivable Specialist will be responsible for monitoring and maintaining quality in throughout all processes and functions pertaining to the Patient AR team. This role will operate synchronously with Revenue Cycle and clinical operations to ensure accurate and timely patient account follow up. The Patient Accounts Receivable Specialist will communicate as needed with the operations team regarding accounts eligible for collection, balance inquiries, writing off balances to bad debt, and fielding disputes. This individual will document, and present summaries of accounts sent to collections to the Patient Accounts Receivable Manager. Alongside the Patient Accounts Receivable Manager, this individual will interact with third party vendor contacts, Revenue Cycle teams and other departments as necessary regarding the patient account collection status and balances. On a recurring frequency, the Patient Accounts Receivable Specialist will review requests for refund to patients, to either approve or decline the proposed refund. Upon approved refund this individual will be accountable for applying appropriate adjustments into the patient’s account.

Requirements

Proficient knowledge of insurance models (Ie - PPO, State funded, DHMO) and billing regulations; strong written and verbal communication skills to communicate in clear, concise terms. Experience in revenue cycle operations.
High School Diploma or equivalent
5 years’ experience preferred in healthcare revenue cycle management with at least 3 of those years’ experience in Dentistry
Experience handling patient AR balances and collection processes
Experience in third party vendor management
Good communication skills – written, telephone, and email. Must be articulate and personable
Attention to detail, good computer skills – MS, Word, Excel, PowerPoint
Must have high level of interpersonal skills to handle sensitive and confidential situations
Have strong organizational and time management skills
Knowledge of organization's policies, procedures and systems
Ability to work effectively in a fast paced, high volume environment
Demonstrate ethical problem-solving skills and initiative

Responsibilities

(TSI) Manage identification and communication regarding patient accounts eligible for collections
(TSI) Review and transfer of debts to the collections agency and writing off the patient account balances
(TSI) Field intercompany questions pertaining to the collection agency disputes and account reviews
(Pt Refunds) Manage inflow, review, approval, and processing of patient refund requests
(Pt AR Desk365 tickets) Review, investigate and process escalations from the field as it pertains to patient account balance discrepancies
(EvA, Dup Payments & W/O reports) Account review to identify and correct EOB and posting errors that could result in revenue leakage, fee schedule/insurance plan inaccuracies, incorrect compensation to providers
(EvA, Dup Payments & W/O reports) Document and report on trends in avoidance-related findings as it related to patient balance reviews and collections
(Guarantor Balances Report) Handling of accounts with aging credit balances and follow proper unclaimed fund protocols in accordance with state law
Work directly with various departments including but not limited to internal rev cycle teams, office staff, clinicians, and external vendors
Work independently with limited supervision to initiate and manage various functions and meet deadlines
Demonstrate exemplary customer service to our Providers and office staff

Benefits

A comprehensive benefits package including 401k
2 weeks of paid time off for full-time associates which increases up to 5 weeks as you grow in your career with us
Constant opportunities for career growth and continuing education
A professional and flexible atmosphere that allows for freedom and individuality – enabling our team to always strive to do what’s best for the patient

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