Revenue Cycle Specialist - Payments & Remittance

Dental Care Alliance•Sarasota, FL

2d•Remote

About The Position

The Revenue Cycle Specialist, Payments & Remittance will be responsible for accurately posting and reconciling insurance payments into the practice management system, ensuring all transactions are recorded in compliance with contractual and regulatory guidelines. This role requires strong attention to detail, the ability to work across multiple systems, and a commitment to meeting accuracy and productivity benchmarks. This is a 100% remote position.

Requirements

High School Diploma or Equivalent Required
Ability to exercise independent judgement
Excellent written and verbal communication skills
Demonstrates aptitude in effective negotiating
Familiarity with market research, data analysis and forecasting techniques

Nice To Haves

Associate’s Degree in Business Administration, Economics or related field strongly preferred
Three (3) years previous buying experience strongly preferred, or ability to demonstrate comparable combination of knowledge and skill

Responsibilities

Accurately post all insurance payments, adjustments, and denials to client accounts in an accurate and timely manner.
Review and reconcile check deposits, EFTs, and lockbox reports to ensure completeness and accuracy of payment posting.
Ensure all payments are posted in accordance with payer contracts and client-specific rules.
Maintain a high level of productivity while meeting quality standards (99%+ accuracy).
Ensure all payments show matched and reconciled on the Reconciliation Report, entering notes indicating reasoning for non-match on all discrepancies
Manage the Zentist portal daily to mark payments as posted and ensure the daily deposit is complete.
Assign denied claims to denial management and AR teams within Denticon’s task manager to ensure proper handling of underpayments
Monitor and process Electronic Remittance Advice (ERA) in DentalxChange
Resolve all payments with missing Explanation of Benefits (EOB)
Acquire Electronic Remittance Advice (ERA)/ Explanation of Benefits (EOB) files from multiple sources including but not limited to DentalxChange, Zentist, Payor Portals, phone calls to payors
Escalate recurring payer issues or payment variances to Revenue Cycle Manager for resolution.
Maintain status reporting of workload on Daily Tracker for payment & denial posting, reconciliation and ERA processing for assigned practices
Pre-Audit and escalate fee discrepancies to the fees team
Initiates refund tickets of received overpayments requests from payors
Adhere to HIPAA guidelines and internal compliance protocols.