Accounts Receivable Specialist

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Processing dental claims submitted to insurance companies to ensure accurate and timely coding, billing, and collections.

• Conducting both manual and electronic posting functions for all payors and patient accounts, which includes cash balancing and reconciling bank deposits.

• Posting payment corrections, transfers, and non-sufficient funds (NSFs).

• Researching and clearing unapplied accounts using established identification methods and processes.

• Keeping up-to-date with insurance rejections and denial processing, and accurately posting relevant information for collection and follow-up activities.

• Managing all aspects of follow-up and collections, including making phone calls and accessing payer websites.

• Identifying issues or trends and providing recommendations for resolution.

• Documenting relevant collection activities comprehensively and accurately.

• Reviewing account details and necessary system applications to determine the next suitable work activity.

• Investigating and resolving claims that have been rejected or denied by insurance providers.

• Verifying claims adjudication using appropriate resources and applications.

• Executing the necessary billing functions, which include manual re-bills and electronic submissions to payers.

• Editing claims to comply with billing guidelines for electronic claim submission.

• Initiating appeals and ensuring all required documentation is submitted during the appeal process.

• Addressing patient billing inquiries and serving as a resource for billing-related questions.

• Maintaining ledger accuracy and ensuring account integrity.

• Analyzing and rectifying insurance accounts receivable along with payment posting ledgers and posting inaccuracies.

• Researching payor recoupments, identifying errors or opportunities to dispute, and restoring lost revenue.

• Investigating and validating patient refunds.

• Verifying insurance benefits through websites, fax, and phone communications.

• Reviewing patient accounts to identify and correct discrepancies, including account audits, aging accounts receivable, unapplied adjustments, resolving credit balances, and unposted payments.

• Researching and following up on correspondence related to assigned accounts.

• Performing additional duties and responsibilities as assigned by leadership.

⛳️ Requirements

• High School Diploma or equivalent qualification.

• A minimum of 3-5 years of experience in Dental or Medical fields.

• Prior experience in Dental Office workflows and Revenue Cycle functions, including scheduling, registration, insurance verification, fee schedules, claim submission, coding requirements, insurance accounts receivable follow-up, and payment posting processes.

• Experience with practice management software systems, insurance portals, clearinghouses, insurance guidelines, banking reconciliation software, and proficiency in intermediate PC skills (MS Office with strong Excel skills).

• Strong computer literacy, excellent mathematical and problem-solving abilities.

• Proficient in data entry and 10-key by touch.

• Strong interpersonal and organizational skills.

• Ability to work collaboratively in a team setting as well as independently as an individual contributor.

• Proven attention to detail with robust analytical skills.

🏝️ Benefits

• A comprehensive benefits package that includes a 401k plan.

• Competitive paid time off for both full-time and part-time team members, which increases with career progression.

• Continuous opportunities for career advancement and ongoing education.

• A professional and flexible work environment that promotes freedom and individuality.