RCM Specialist

Aspen Dental

7d•$17 - $21•Hybrid

About The Position

The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S., supporting 15,000 healthcare professionals and team members at more than 1,000 health and wellness offices across 47 states in three distinct categories: Dental care, urgent care, and medical aesthetics. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Lovet Pet Health Care and Chapter Aesthetic Studio. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale. As a reflection of our current needs and planned growth we are very pleased to offer a new opportunity to join our dedicated team as Revenue Cycle Management (RCM) Specialist based in our East Syracuse, NY office.

Requirements

Education Level: High School diploma or equivalent.
Job related/Industry experience preferred.
Excellent verbal and written communication skills.
Excellent organizational and time management skills.
Excellent problem solving/analysis collaboration.
Self-motivated individual with strong attention to detail.
Leadership experience preferred.

Responsibilities

Account & Credit Analysis: Conduct detailed reviews of patient accounts to verify credit balances, investigating the root cause of overpayments to determine if a "true" balance exists.
Refund Verification: Analyze insurance recovery letters and refund requests to determine if funds should be returned, reallocated to other outstanding balances, or if insurance premiums are eligible for refund.
Liaison & Resolution: Communicate with insurance carriers and provider contacts to identify where overpayments originated and ensure funds are applied to the correct accounts.
Trend & Risk Identification: Develop a keen eye for carrier payment trends, specifically identifying insurance companies that automatically retract payments to prevent issuing duplicate manual refunds.
Quality & Detail Advocacy: Maintain high attention to detail to spot recurring billing issues, confirm if a refund has already been processed, and ensure the accuracy of all financial transactions.
Analytical Problem Solving: Move beyond basic data entry by analyzing ledger history to resolve complex credit issues and ensure the integrity of the revenue cycle.