Revenue Cycle Specialist

SGA Dental Partners • Albany, GA

10d

About The Position

SGA Dental Partners is hiring for a Revenue Cycle Specialist in Albany, GA We are seeking a highly skilled Revenue Cycle Specialist with strong knowledge of office operations and end-to-end insurance processes. This role is critical to ensuring accurate, timely reimbursement and smooth financial operations. The ideal candidate is detail-oriented, analytical, and confident in troubleshooting complex issues while helping optimize and integrate new systems and workflows.

Requirements

• Proven experience as a Revenue Cycle Specialist, Medical Biller, or similar role.
• Strong understanding of insurance processes and payer rules.
• Experience supporting office operations related to billing and insurance.
• Exceptional attention to detail and organizational skills.
• Strong troubleshooting and problem-solving abilities.

Nice To Haves

• Experience assisting with system implementations or workflow redesigns.
• Familiarity with EHR and practice management systems.
• Analytical mindset with comfort reviewing reports and data.
• Clear and professional communication skills.

Responsibilities

• Support the full revenue cycle process, including eligibility verification, prior authorizations, charge entry, claims submission, payment posting, denials, appeals, and follow-up.
• Serve as a subject-matter expert on insurance plans, payer requirements, and reimbursement guidelines.
• Investigate, resolve, and help prevent claim denials and underpayments.
• Ensure billing and insurance processes align with payer requirements and regulations.
• Work closely with front-office and clinical teams to ensure accurate documentation and clean claims.
• Identify workflow gaps that impact revenue and recommend improvements.
• Provide guidance and support to staff on insurance-related processes and best practices.
• Analyze revenue cycle issues, identify root causes, and implement effective solutions.
• Monitor trends related to billing, collections, and accounts receivable.
• Assist in developing and refining workflows to improve efficiency, accuracy, and cash flow.
• Support implementation, optimization, and integration of practice management, billing, and EHR systems.
• Test new systems, workflows, and payer processes to ensure accuracy and efficiency.
• Create and maintain documentation for procedures and workflows.
• Act as a key resource during system transitions or process changes.

Benefits

• Paid Holidays and Paid Time Off (PTO)
• 401(k) Retirement Plan
• Health and Vision Insurance
• Employer-Paid Dental Insurance, Life Insurance, Care.com Membership & Employee Assistance Program
• Supplemental Coverage (Disability, Critical Illness, Accident)
• Paid Scrub Allowance
• Career Growth and Development Opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed