Revenue Cycle Specialist

Job Description

Overview

Revenue Cycle Specialist

Cameo Dental Specialists

We are seeking a detail-oriented and motivated Revenue Cycle Specialist to join our team. Under the direction of the Revenue Cycle Supervisor, the Revenue Cycle Specialist is responsible for a variety of revenue cycle functions, including charge entry, payment posting, A / R follow-up, and denials management in accordance with the center's policies and procedures. This role plays a key part in ensuring accurate financial processes, timely reimbursements, and overall operational efficiency.

Schedule : Full Time at our LaGrange location

Responsibilities

Liaise with insurance providers to clarify patients' coverage and resolve disputes regarding rejected claims

Thoroughly read and interpret EOBs to identify payment discrepancies

Review and manage aging reports for assigned payors

Communicate new or revised billing and coding guidelines to providers and their assigned specialties

Make appropriate changes to incorrectly billed services, add missing unbilled services, provide missing data as needed, and correct CDT codes

Confirm that the correct fee schedule is applied

Collaborate with other operational areas to provide coding and reimbursement assistance; help identify and resolve incorrect claim issues; assist with drafting appeal letters as needed

Post insurance payments and apply appropriate contractual write-offs

Analyze and resolve complex accounts

Communicate with patients regarding co-payments, insurance shortfalls, outstanding balances, and related billing issues

Understand and explain dental and medical insurance plan benefits

Effectively communicate with general dental offices, insurance companies, patients, and others regarding insurance benefits and procedure-related costs

Handle multiple assignments and tasks simultaneously

Additional responsibilities may be assigned as needed

Qualifications

Requirements :

High school diploma or equivalent

Two years’ experience in billing / collections within a healthcare or dental setting

Preferred :

• Knowledge of dental and / or oral surgery operations

We Offer

Specialized Dental Partners, its affiliates, related companies and independently owned supported clinical practices are proud to be Equal Opportunity Employers. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

The salary range for this role is $23-$25 per hour. At Specialized Dental Partners, its affiliates, related companies and independently owned supported clinical practices, we are committed to ensuring fair and equitable pay for all employees. We adhere to all applicable federal, state, and local laws regarding pay equity and non-discrimination. Our compensation practices are designed to ensure that employees are paid fairly based on their role, experience, performance, and contributions to the company, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. We regularly review our compensation practices and conduct pay equity audits to identify and address any disparities. By fostering a culture of transparency and fairness, we aim to create an inclusive workplace where all employees feel valued and respected.

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