''RCM Billing Specialist"

Delta Dental • Oakland, CA

2d

About The Position

The Claims Management & Billing Specialist plays a key role in supporting all operational aspects of the revenue cycle for the Emerge program. This position will perform front-end and back-end billing processes, including claims management, payment posting, insurance follow-up, and patient financial communication. The Specialist ensures accurate and timely handling of billing functions to maintain strong cash flow and patient satisfaction.

Requirements

• 3+ years of experience w/High School
• Strong knowledge of claims billing, EOBs, payment posting, and A/R follow-up.
• Knowledge of and ability to use eligibility tools and payer portals.
• Excellent customer service skills.
• Superb verbal, written and interpersonal communication skills.
• Excellent time management and organization skills.
• Familiarity with electronic health records (EHR) and practice management systems such as Epic, Dentrix, Eaglesoft, Denticon, Dental Xchange, etc.

Nice To Haves

• 5+ years of experience in dental or medical revenue cycle, claims and/or billing roles preferred

Responsibilities

• Submit accurate claims to insurance payers in accordance with established timelines.
• Review and resolve claim rejections and denials.
• Post insurance and patient payments, adjustments, and refunds.
• Verify patient eligibility and benefits; obtain and track pre-authorizations when required.
• Perform insurance accounts receivable (A/R) follow-up to resolve outstanding claims.
• Respond to patient inquiries related to billing, payments, and account balances.
• Support financial transparency by reviewing patient ledgers and providing clear explanations.
• Collaborate with clinical and front office teams to ensure complete and accurate documentation.
• Support other projects as assigned by leadership.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED