RCM Insurance AR and Posting Specialist (Dental Billing)

Sun Life • Oklahoma City, OK

8d • $43,100 - $58,200 • Remote

About The Position

The Insurance A/R & Posting Specialists are responsible for a variety of tasks within the Accounts Receivable (AR) and Revenue Cycle Management (RCM) processes. This includes managing rejections, billing, help desk inquiries, AR follow-up, posting payments, and credit balances. These roles will work within a pod structure, where staff will be assigned specific tasks and rotate through the pods at different times. Cross-training is a key part of this structure, and team members will be responsible for filling in for others as needed, ensuring continuity and consistency of the work.

Requirements

• High school diploma or equivalent
• Minimum of 3 years of experience in accounts receivable, dental billing, or a related field is required
• Experience in a dental or healthcare environment, ideally within a Dental Service Organization (DSO) or similar multi-location setting.
• Strong knowledge of insurance billing, payment procedures, and AR processes.
• Knowledge of payer guidelines and claims appeals processes.
• Familiarity with dental practice management systems, such as Dentrix or similar PMS platforms.
• Ability to navigate payer portals, insurance company websites, and databases.
• Excellent communication and negotiation skills to resolve issues with insurance payers.
• Strong attention to detail and organizational skills.

Responsibilities

• Review and follow up on outstanding claims to ensure timely reimbursement.
• Contact insurance companies, payers, and patients to resolve any discrepancies, denials, or underpayments.
• Investigate claim denials, determine reasons for non-payment, and follow up with the payer to resolve and appeal when necessary.
• Oversee billing activities, ensuring accurate and timely submission of claims to payers, and address any billing discrepancies.
• Identify, investigate, and resolve claim rejections promptly to ensure the timely processing of payments.
• Provide support and respond to internal and external inquiries regarding billing issues, claim statuses, and account discrepancies.
• Manage follow-up on outstanding accounts receivable, ensuring timely resolution of overdue claims and facilitating effective communication with payers.
• Accurately post payments and adjustments to patient accounts and insurance claims.
• Identify and resolve credit balances on accounts, ensuring they are handled promptly and according to company policy.
• Willingness to cross-train in all functions of RCM, including but not limited to billing, refunds, collections, and other processes, to support team flexibility and efficiency.
• Assist in identifying and implementing process improvements to streamline the AR and billing functions.
• Work closely with other members of the RCM team to ensure timely and effective resolution of claims, share knowledge on payer issues, and improve overall processes.

Benefits

• Generous vacation and sick time
• Market-leading paid family, parental and adoption leave
• Medical coverage
• Company paid life and AD&D insurance
• Disability programs
• Partially paid sabbatical program
• 401(k) employer match
• Stock purchase options
• Employer-funded retirement account

What This Job Offers

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