Medicaid AR Specialist

Overview

Work for a company that is truly making the world a happier place, one smile at a time! At Benevis, we create over a million smiles a year in the communities we serve and believe that every person deserves access to quality, affordable dental care. This mission drives everything we do. With over 3000 employees in offices across the country from clinical to support staff - we are united in our mission to create happy, healthy smiles through providing high quality dental care in a fun, compassionate environment. Are you ready to join us in creating our next million smiles? We have JUST the opportunity for you.

The Medicaid Accounts Receivable Specialist assists in the follow up of all Medicaid unpaid claims and open balances. This includes timely follow up on outstanding denials and assisting in identifying trends that can negatively impact revenue.

Responsibilities

• Work unpaid and denied claims
• Contact payers to research claim status
• Pull procedure reports.
• Update internal documents with claim results / status.
• Constant communication with departments within our organization (EDI, Verification, Billing, Credentialing, etc.) as well as external clients (i.e. Payers)
• Generate claims and assist in preparing and submitting appeals to payers
• Report to AR Manager any denial trends that can negatively impact revenue for the assigned region in a timely manner

Qualifications