Remote Dental Claim Reviewer Jobs (NOW HIRING)

What we do at Dental Claim Support:

DCS is a dental revenue cycle management company that works with dentists, dental offices, and DSOs in the United States. DCS empowers dental teams by integrating highly trained RCM experts and a unique technology framework to maximize profitability and catalyze growth. 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.

Position Summary:

Dental Claim Support is seeking a detail-oriented and technically proficient Remote Dental Billing Specialist to join our Private Practice Insurance Billing Business Unit. Reporting to the Account Manager, the successful candidate will play a critical role in handling various technical aspects related to dental revenue cycle management services, with a focus on insurance billing. This role requires expertise in practice management software's, thorough understanding in dental revenue cycle management, providing a keen attention to detail, with a growth mindset to serve our clients.

This role offers the option to work Remotely / Work from Home / WFH. Also part time or Full time options are available.

How the Remote Dental Billing Specialist fits in:

The Remote Dental Billing Specialist is the cornerstone in our insurance billing operations, orchestrating a harmonious interplay of technical expertise, collaboration with the Account Manager, client support, vendor management, problem-solving acumen, data integrity, and a commitment to continuous learning. Through these contributions, the Remote Dental Billing Specialist fortifies the foundation of our organization's success in insurance billing.

In this role, you will:

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 any timely filing denials.
• Investigate and accurately resolve claim rejections promptly, reducing insurance aging report numbers and simultaneously increasing insurance collections.
• Knowledge in proper account receivables, notation and queueing of patient statements.
• Ability to read and understand Insurance Verification full breakdowns.
• Utilize HIPAA guidelines at all times.

Practice Management Software Knowledge:

• Demonstrate proficiency in the use of dental PMS; knowledge in either server or cloud base.
• Stay updated on software updates and enhancements.

Technical Competencies:

• Possess a deep understanding of Current Dental Terminology (CDT) coding.
• Demonstrate radiographic knowledge and interpretation relevant to dental procedures.
• Utilize insurance payer websites, both from retrieving EFT payments, claim submission, and leveraging websites to maximize claim payments.
• Utilize clearinghouse knowledge to facilitate seamless data exchange.

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.

Relationship Management:

• Collaborate effectively with internal teams, external partners and clients.
• Build and maintain positive relationships with payers, vendors, 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 service opportunities for clients to support and provide a seamless revenue cycle management.

Problem Solving and Efficiency:

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

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 business unit.
• Collaborate with colleagues and direct managers to enhance workflow and communication.

Client Management and Accountability:

• Provide exceptional service to clients, addressing inquiries and concerns.
• 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 and industry updates.
• Stay informed about changes in dental billing and coding practices.

Success Criteria:

Client Retention and Satisfaction:

• Maintain a Client Retention Rate of 90% or higher.
• Maintain an NPS Score of 8 or above for Remote Billing Dental Specialists' specific book of business.

Revenue Generation:

• Remote Dental Billing Specialists are expected to contribute to a revenue target that reflects an ROI of 67%.

Posting Accuracy:

• Maintain a posting accuracy of 98%.

Audit Score:

• Maintain an overall audit score of 90%.

Requirements:

• 2+ years dental insurance billing. Knowledge of dental terminology and effective dental revenue cycle management techniques.
• High School diploma or GED; some college coursework preferred.
• Proficiency in Microsoft Office (Excel, Word, Outlook, etc.) Google Drive a plus.
• Well-organized, clear communicator, diligent work ethic, and proficient computer skills.
• Multi-Tasker.

Compensation:

1099 - Independent Contractor (Based on Commission), with the opportunity to transition to a W-2 status.

Benefits:

For both 1099 status and W2 status:

• The option to work remotely / Work from Home / WFH
• A flexible work schedule
• A culture of learning
• The opportunity to play a key role in a rapidly growing company

Once eligible for W-2 status:

• Health insurance provided
• Vision, and Dental Coverage
• Company matched 401k
• Company paid equipment
• Paid Time Off

Our Company Values:

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