Job Description
About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. JOB SUMMARY: ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member. Position Summery The Dental Insurance Specialist will be responsible for the overall AR claim follow up. Duties & Responsibilities: Review, and transmit claims using electronic and manual (paper) methods. Review patient bills for accuracy and completeness; obtain missing information as needed. Identify and bill secondary or tertiary insurances. Knowledge and ability to correct Medicaid claims via appropriate portal or DDE. Identify opportunities to streamline billing process by analyzing frequent or repeated claim edits/errors. Other duties as assigned. REQUIREMENTS: High School Diploma or GED equivalent Courses in Insurance Dental Billing and Dental terminology preferred 1+ year of Dental aging follow-up experience, including familiarity with third-party healthcare claims. Dentrix experience preferred Knowledge of revenue cycle process Strong understanding of Dental terminology Intermediate mathematics skills (calculating charges, co-payments, deductibles, and reconciling financi