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Insurance & Billing Specialist
Insurance & Billing SpecialistEspire Dental • Englewood, CO, US
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Insurance & Billing Specialist

Insurance & Billing Specialist

Espire Dental • Englewood, CO, US
18 hours ago
Job type
  • Full-time
Job description

Overview

Join to apply for the Insurance & Billing Specialist role at Espire Dental

The Insurance and Billing Specialist will be the in-house insurance expert on the dental revenue cycle with a focus on RCM functions such as claim submission, verifications, insurance payment posting, insurance AR, and patient AR. This role may also participate as a project manager for process improvement within the RCM Cycle.

Main Responsibilities

  • RCM functions including but not limited to insurance plan strategy, claims management, insurance payment posting, verifications, and aging reports
  • Support our group of practices in California, Colorado, Wyoming, Texas, and Oklahoma in all RCM functions

Additional Responsibilities

  • Assist our credentialing division in managing all insurance payor relationships
  • Assist our credentialing division in providing strategic analysis on insurance plan utilization
  • Ensure all providers are appropriately credentialed
  • Manage all provider malpractice enrollment
  • Track all provider licensure
  • Input all fee schedules
  • Provide support on local market fee analysis

    • Education / License Requirements

  • High school diploma or GED, required
  • Bachelor's Degree in Business or related field, or equivalent experience, preferred

    • Experience Requirements

  • 2+ years' experience in the dental insurance field, required

    • Skills Requirements

  • Expert level knowledge in dental insurance
  • Proactive problem solving
  • Analytical approach to providing recommendations
  • Strong organizational skills
  • Understanding of compliance and regulatory standards pertinent to the scope of activities of the job
  • Ability to work in a team environment required
  • Excellent coaching skills

    • Physical Requirements

    Level 1 : A combination of sitting, standing and walking with little requirement for physical effort. There may be a requirement to exert light physical effort for short periods.

    Supervisory Responsibilities

    No supervisory responsibility.

    Travel Requirements

    1% - 10% travel required.

    Seniority level

  • Entry level

    • Employment type

  • Full-time

    • Job function

  • Other

    • Industries

  • Hospitals and Health Care

    • J-18808-Ljbffr

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    Billing Specialist • Englewood, CO, US