Revenue Cycle Specialist (Remote)

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Job description

Overview:

Lead with GRATITUDE. Engage with EMPATHY. CARE with COMPASSION. BE Intellectually Curious. Be part of NADG's Tribe!

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!

Responsibilities:
The Revenue Cycle Specialist is well versed and crossed trained in all areas of the revenue cycle and accustomed to working in a high-volume environment. Key Responsibilities include:

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

Qualifications:
So How Can You "Fill" This Role?

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

Benefits Await!

We take pride in our ability to give our team members all the benefits they deserve. This is why we offer

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

Ready to Join Our Team?

Our team isn't just looking for good members, we're looking for the best of the best and are ready to welcome the perfect candidate to this position. NADG is constantly growing, and we want you to join us on our mission. Stop searching for jobs - apply today and start your career.

If you are professional and organized yet outgoing, flexible, and energetic, you'll fit right in.

Our team is full of individuals with different skills and personalities, but each is willing to go the extra mile for our patients while communicating well with our team. If this sounds relatable, then there's a spot for you at our practice. We're excited to hear from you!

Equal Opportunity Employer

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, ancestry, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status, or any other characteristic protected by law.

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