Accounts Receivable Specialist (Remote)

North American Dental Group • Pittsburgh, PA

22h • Remote

About The Position

NADG is the fastest growing dental services organization of scale in the United States and today consists of a network of over 240+ dental practices in 15 states and 25 regional markets, and recently have become the first Transatlantic Dental Service Group! Our entrepreneurial culture and maniacal focus on patient care serve as a great platform to become an innovative and dynamic industry leader. We are looking for a Revenue Cycle Specialist (remote) to join our Revenue Cycle Team to help us pioneer a new culture of dentistry. Join our Tribe!

Requirements

• High School Diploma or equivalent
• Minimum 3-5 years Dental or Medical Experience
• Prior experience in Dental Office workflows, Revenue Cycle functions to include scheduling, registration, insurance verification, fee schedules, claim submission, charging/coding requirements, insurance AR follow up and payment posting process
• Experience with practice management software systems, insurance portals, clearing houses, insurance guidelines, banking reconciliation software, proficient in intermediate PC skills (MS Office—strong excel skills).
• Strong computer literacy, excellent Math and problem-solving skills. Data entry and 10-key by touch.
• Strong interpersonal and organization skills.
• Ability to work within a team setting and as an individual contributor.
• Proven attention to detail with strong analytical skills

Responsibilities

• Processing dental claims for payment by insurance companies to ensure appropriate and timely coding, billing and collections
• Performs manual and electronic posting functions for all payors/patient accounts, including cash balancing and reconciliation of bank deposits.
• Post payment corrections, payment transfers and NSF’s.
• Research and clear unapplied accounts using established identification functions/process.
• Maintains knowledge of insurance rejections/denial processing and appropriately posts information for collection and follow up activity.
• Responsible for all aspects of follow up and collections, including making phone calls, accessing payer websites. Identify issues or trending and provide suggestions for resolution.
• Accurately and thoroughly documents the pertinent collection activity performed. Review the account information and necessary system applications to determine the next appropriate work activity.
• Reviews investigate and resolves claims that have been rejected or denied by insurance. Verify claims adjudication utilization appropriate resources and applications.
• Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers. Edit claims to meet and satisfy billing compliance guidelines for electronic claim submission.
• Initiates appeals and ensures all required documentation is submitted in the appeal process.
• Answers patient billing questions and act as a resource for patient billing questions.
• Ledger accuracy and account integrity
• Analyzes and correct insurance account receivable and payment posting ledger and posting errors
• Thoroughly research all payor recoupments and identify errors and/or opportunity to dispute and restore loss in revenue. Research and validate patient refunds
• Verification of insurance benefits utilizing website, fax and phone.
• Reviewing patient accounts to determine and correct any discrepancies; account audits, aging AR, unapplied adjustments, resolving credit balance, unposted payments
• Researches and follow up on all correspondence associated with assigned accounts
• Other duties and responsibilities as assigned by leadership

Benefits

• A comprehensive benefits package including 401k
• Competitive paid time off for full-time and part-time team members which increases as you grow in your career with us
• Constant opportunities for career growth and continuing education
• A professional and flexible atmosphere that allows for freedom and individuality – enabling our team to always strive to do what’s best for the patient

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 251-500 employees