Offer summary

Qualifications:

High school diploma or equivalent required., Medical Billing & Coding Certificate preferred., Minimum of 1 year experience with medical/dental claim denials and appeals., Experience in a dental billing practice or similar environment is essential..

Key responsibilities:

Ensure accurate and timely billing and adjustments.

Process pre-authorizations and review outstanding claims.

Send statements for outstanding balances and process appeals/denials.

Assist front office staff with insurance and account inquiries.

Job description

Dental Revenue Cycle Specialist

SummaryThe Dental Revenue Cycle Specialist is responsible for ensuring accurate and timely billing of accounts, accuracy of account balances and coordinating with other billing team members to ensure billing accuracy. Majority of the time, this position will focus on denied claims.

Pay Range $18.56-$24.00/hour (Based on experience)

This is a remote position and we are seeking candidates who reside in Pacific and Mountain time zones.

CHOICE Healthcare Services is the largest provider of pediatric dental care in the Southwest United States, and we pride ourselves on delivering high quality care to children in our communities. Every day, thousands of people trust us to provide their families with healthy, radiant smiles.

What we provide to you as a CHOICE teammate

Care for your wellbeing and work-life balance
Professional and personal growth
Experienced leadership support
Fun and supportive team dynamic with events and celebrations
Comprehensive benefit package

Essential Duties and Responsibilities include the following. Other duties may be assigned.

Ensure daily billing and adjustments are accurate and timely
Ability to read insurance benefits and explanation of benefits (EOB)
Process pre-authorizations with HMO insurances & Denti-Cal
Review outstanding claims, follow up on aging for both patient and insurance balances
Send statements with outstanding balances to patient
Process appeals/denials with insurances
Assists front office staff at practices with insurance and account questions as needed
Verify insurance eligibility and benefits for patients
Cross trained in other aspects of the department as assigned
Ability to work in fast paced environment
Willingness to cover other duties as assigned

Education/Experience

High school diploma or equivalent
Medical Billing & Coding Certificate, preferred
Minimum of 1 years of experience of working medical/dental claim denials and appeals
Experience working in a dental billing practice or similar environment
Experience working with EOBs and healthcare accounts receivables

Required profile