Revenue Cycle Specialist - Claims Follow Up
About The Position
Guardian Dentistry Partners is seeking a dynamic and experienced Revenue Cycle Specialist to join their fast-growing dental partnership network. The company supports over 200 practices across 15.5 states and has been recognized on the Inc. 5000 list for four consecutive years. The culture is built on integrity, collaboration, and purpose, focusing on supporting dental entrepreneurs dedicated to exceptional care. The Revenue Cycle Specialist - Claims Follow Up will report to the Revenue Cycle Manager and Vice President of Insurance Operations and Revenue Cycle Management. This role is responsible for reviewing and resolving outstanding insurance claims for multiple dental offices, identifying opportunities to reduce aging balances and improve collections. The specialist will also provide recommendations for revenue cycle processes and maintain strong relationships with partner offices and internal leaders. The position requires adherence to the company's core values, internal control processes, and policies.
Requirements
- General understanding of dental revenue cycle management functions, with a strong focus on insurance claims follow-up and denials
- Minimum of 3-5 years’ experience in a revenue cycle specialist and/or similar experience
- Minimum of 5 years in dental insurance & billing and/or similar experience
- Familiarity with various practice management software, like Denticon, Dentrix, Eaglesoft, OpenDental, Practiceworks, PlanetDDS, Curve, etc.
- Demonstrate team and inter-departmental collaboration
- Demonstrate strong time management abilities
- Detail-oriented, with strong research and analysis skills
- High level of proficiency in written and oral communications
- Thrive in a fast-paced environment, including flexibility in priorities and scheduling
- Adaptability – responding quickly to changes and adjusting initiatives and priorities accordingly
- Solid organization skills, with the ability to track and weigh multiple priorities at once to ensure more efficient and effective time management
- Advanced computer skills, including Microsoft Outlook, Word, Excel, and PowerPoint
Responsibilities
- Work assigned outstanding insurance claims for follow-up resolution and cleaning up of aging balances for one or more dental offices at a time
- Perform proper insurance claims submission with payers to ensure timely processing of claims and maximized insurance payments
- Identify areas of opportunity and prepare solutions to improve RCM KPI’s, including collections %, AR days, % of aging past-due
- Execute projects on time according to project deadlines, effectively communicating progress and trends
- Interact with individuals at all levels of the company as well as external vendors
- Contribute to overall company programs and projects, communication cascade and process improvement
- Handle confidential business matters
- Recommend work process improvements
- Anticipate needs of senior leadership and respond proactively to those needs
- Work independently or on a team for special assignments
Benefits
- Competitive health, dental, vision, long-term and short-term disability, and life insurance plans
- Participation in a 401 (k) plan with company match
- Remote workforce model & flexible schedule
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
