Revenue Cycle Specialist

SGA Dental Partners • Albany, GA

17d

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. In hometown communities, SGA Dental Partners is a beacon of positive energy, delivering the highest level of clinical excellence and patient-centered care. Apply today to join us in making a difference! SGA Dental Partners is an Equal Opportunity Employer and values diversity at every level of our team. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status In hometown communities across the country, SGA Dental Partners is a beacon of positive energy, making a meaningful difference in the lives of patients, team members, and the communities we serve. Built through the coming together of long respected dental practices, we are united by a shared commitment to clinical excellence, compassionate care, and a people first culture. At SGA, we believe in continuous improvement because we know that when our people grow, our care gets better. Guided by our Empower Improvement mindset and our belief that we get better every day, we invest in our teams through development, collaboration, and leadership opportunities. Whether you are early in your career or an experienced professional, you will find an environment that supports growth, recognizes contribution, and encourages innovation. Search by location or profession to explore current opportunities. If you do not see an open role that matches your area of interest, we encourage you to submit an introduction using the “Introduce Yourself” link in the upper right. Our team will keep your information on file for future opportunities.

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