Revenue Cycle Specialist for Dental practice

POSITION SUMMARY:

The Revenue Cycle Specialist is primarily responsible to managing meaningful use, credit balances, credentialing follow up, claim follow up, patient statements, posting and verification for dental insurances .

JOB DUTIES:

Provides patient revenue management support throughout the revenue cycle for dental offices, to include but not limited to: Billing and Collections, managing meaningful use, credit balances, credentialing follow up, claim follow up, patient statements, posting and verification. Will initiate and develop relationships with customers in order to gather and process information or resolve issues in order to receive accurate reimbursement and optimize internal and external customer satisfaction. Answer and resolve inbound inquiries and issues regarding patient account statements, explanation of benefits, balance due, and other patient and insurance billing scenarios; Billing- sending out claims and patient statements for reimbursement Low payment monitoring and resolving of outstanding balances. Self-pay analysis; Trend analysis of account receivables; Denials review and resolution. Researches any overdue account balance that is fully or partially unpaid and follows up by mail and/or phone to insurance carriers or customers on delinquent payments. Reviews claims denied for payment and underpaid claims. Verifies payment information adjustments to administrator.

MINIMUM REQUIREMENTS:

High School Diploma or equivalent required. One year of healthcare clerical experience or healthcare admitting experience or applicable insurance billing or credit/collections experience.

Knowledge of Microsoft Office basic applications required

Demonstrated ability with attention to detail and accuracy

Good organizational and time management skills

Good verbal and written communication skills

Effective organizational and problem solving skills

Ability to manage multiple tasks/projects simultaneously

PREFERRED QUALIFICATIONS:

Advanced degree
- Spanish or Portuguese would be a plus

Additional professional experience

Dental insurance verification experience
Dental insurance knowledge and experience

The preceding job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this classification. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job