Remote Credentialing Specialist Jobs in Rincon, GA

Account Specialist: DSO Insurance Billing

DSO Business Unit Manager

Savannah, GA

Remote

DCS is a dental revenue cycle management company that works with dentists, dental offices and DSOs in the United States. Dental Claim Support (DCS) improves the lives of dentists and their teams through expertise plus technology to maximize revenue and support patient care. Our dental billing systems and processes allow our employees to work all aspects of the full revenue cycle system efficiently, to increase profits for dental practices and groups.

Dental Claim Support is seeking a detail oriented and technically proficient Account Specialist to support a dedicated client account within the DSO Business Unit. This role owns the full insurance billing cycle within an institutional Epic based software environment, working across client partner department level billing structures.

Epic refers to Epic Systems Corporation, a leading electronic health record and practice management platform used broadly across healthcare, including large institutional dental settings. Within Epic, dental and oral surgery billing is typically managed through Wisdom, Epic's dedicated dental module.

This role requires strong dental revenue cycle expertise, attending standing virtual meetings with the client partner, reporting in and speaking to KPIS, and a growth mindset to serve a client with a multi department billing structure.

The Account Specialist is a dedicated billing resource for this account, orchestrating technical expertise, collaboration with the DSO Business Unit Manager, department level client support, and data integrity across the client's Epic system. Because this role is fully dedicated to one account, consistency, institutional knowledge of the client's departments, and representing a steady point of contact are central to the role's value. Through these contributions, this role fortifies the foundation of DCS's success in insurance billing for institutional Epic based clients.

Dental Revenue Cycle Management Proficiency

• Understand the entire dental revenue cycle, ensuring timely and accurate posting of insurance payments, in compliance with industry standards and organizational policies.
• Provide extensive knowledge of laws and regulations of dental coding and posting.
• Apply necessary and required adjustments taken on insurance payments.
• Efficient knowledge and implementation of Coordination of Benefits.
• Prepare and submit clean claims to insurance companies on a daily basis, minimizing timely filing denials.
• Investigate and accurately resolve claim rejections and denials promptly, reducing insurance aging report numbers and increasing insurance collections.
• Knowledge in proper accounts receivable, notation, and queueing of patient statements.
• Ability to read and understand insurance verification full breakdowns.
• Utilize HIPAA guidelines at all times.

Technical Competencies

• Master working within Epic's billing and scheduling modules, including Wisdom, Epic's dental module.
• Stay updated on software updates and enhancements as the client's Epic environment evolves.

Attention to Detail and Deadline Orientation

• Maintain a high level of accuracy in insurance billing techniques and documentation.
• Meet deadlines consistently, ensuring timely completion of tasks across all departments.

Relationship Management

• Collaborate effectively with internal teams, external partners, and client contacts.
• Build and maintain positive relationships with payers, vendors, and internal teams to support the company's mission.

Team Player and Growth Mindset

• Actively contribute to a collaborative and positive team environment.
• Demonstrate a growth mindset by seeking opportunities to support the client and provide a seamless revenue cycle experience.

Problem Solving and Efficiency

• Identify and address revenue cycle management challenges promptly and effectively.
• Work efficiently to implement processes and improve overall productivity across all departments.

Resource and Vendor Management

• Optimize the use of resources to maximize efficiency.
• Manage relationships with external vendors to ensure quality service.

Engagement and Intra Department Communication

• Foster a culture of engagement and open communication within the DSO Business unit
• Collaborate with colleagues and the DSO Business Unit Manager to enhance workflow and communication.

Client Management and Accountability

• Provide exceptional, consistent service to the client, addressing inquiries and concerns as the dedicated point of contact.
• Take accountability for the accuracy and integrity of client and patient data.

High Level Learning Ability

• Demonstrate the ability to quickly grasp and apply new concepts, including Epic specific workflows.
• Stay informed about changes in dental billing and coding practices.

Client Retention and Satisfaction

• Maintain a Client Retention Rate of 90% or higher for this account.
• Maintain an NPS Score of 8 or above for this book of business.

Posting Accuracy

• Maintain a posting accuracy of 98%.

Audit Score

• Maintain an overall audit score of 90%.

• 2+ years dental insurance billing experience; knowledge of dental terminology and effective dental revenue cycle management techniques.
• Experience working in a high-volume dental billing environment, with demonstrated responsibility for posting a large volume of insurance payments accurately and efficiently.
• DSO or multi-location/group dental practice experience is strongly preferred. Candidates should be comfortable managing the increased volume, competing priorities, and workflow complexity associated with supporting a large dental organization.
• Strong working knowledge of general dental billing and ability to learn Oral and Maxillofacial Surgery (OMS) billing. OMS billing experience is a plus.
• Epic experience preferred, not required. Mastering the system will be required as part of this role; training will be provided.
• Possess a deep understanding of Current Dental Terminology (CDT) coding.
• Experience with radiographic knowledge and interpretation relevant to dental procedures.
• Experience utilizing insurance payer websites for retrieving EFT payments, claim submission, and maximizing claim payments.
• Possess clearinghouse knowledge to facilitate seamless data exchange.
• Well organized, clear communicator, diligent work ethic, and proficient computer skills.
• Comfortable managing a dedicated, single client book of business within a large institutional billing environment.
• Proficiency in Microsoft Office (Excel, Word, Outlook, etc.); Google Drive is a plus.
• High School diploma or GED.

• Customer Success
• Transparency
• Reliability
• Professional Excellence
• Alignment

• $50,000 - $55,000 annual (commensurate with experience)

• Vision
• Term Life
• Whole Life
• Short Term Disability
• Cancer Policy
• Accident Policy
• Health Savings Account
• Flexible Spending Account
• Dependent Care Account