Dental Revenue Cycle Specialist

Dental Revenue Cycle Specialist - Full-Time (On-site)

Salary: $60,000 - $65,000

Position Overview: We are seeking a detail-oriented and highly organized Dental Revenue Cycle Specialist to join our team. This is a full-time in-office position with 1 -3 days per month remote. The Dental Revenue Cycle Specialist will play a critical role in ensuring the financial operations of our dental clinic run smoothly by managing billing processes, submitting pre-authorizations for treatment, presenting treatment plans to patients, posting payments, submitting claims, and maintaining accurate financial records. The ideal candidate will have strong communication skills, a thorough understanding of dental billing procedures, and the ability to work both independently and collaboratively.

Key Responsibilities:

• Payment Processing:
  
• Post insurance and patient payments accurately and promptly.
  
• Reconcile payments with Explanation of Benefits (EOBs).
  
• Claims Management:
  
• Prepare, submit, and follow up on insurance claims to ensure timely reimbursement.
  
• Post claims accurately to patient accounts.
  
• Handle claims appeals, including identifying errors, gathering necessary documentation, and resubmitting to insurance providers.
  
• Pre-Authorizations and Reauthorizations:
  
• Submit reauthorizations for all dental treatments that require them.
  
• Monitor aging pre-authorizations and follow up with insurance providers as needed..
  
• Fee Schedule Updates:
  
• Regularly review and update fee schedules to reflect changes in insurance reimbursements and clinic pricing.
  
• Coordinate with management to ensure accuracy and compliance with payer agreements.
  
• Patient Billing:
  
• Send out patient statements in a timely and accurate manner.
  
• Address patient billing inquiries and provide clear explanations of charges.
  
• Insurance Documentation:
  
• Obtain and attach insurance benefit breakdowns to patient charts.
  
• Verify patient insurance eligibility and update records accordingly.
  
• Collections:
  
• Manage accounts receivable and ensure timely collections of outstanding balances.
  
• Follow up on overdue accounts and implement collection efforts while maintaining professionalism and compassion.
  
• Record Keeping and Compliance:
  
• Maintain accurate and up-to-date billing records.
  
• Ensure compliance with HIPAA regulations and billing best practices.
  
• Team Collaboration:
  
• Work closely with front desk and clinical staff to streamline billing processes.
  
• Participate in virtual team meetings and provide regular updates on billing activities.
  
• Assist with other billing and administrative duties as assigned.
  

Remote Work Structure:

• Work remotely 1-3 days per month, with other days required in the office for in-person collaboration and other administrative duties.
  
• Must have access to a secure, private workspace and reliable internet for remote work.
  

Qualifications:

• Minimum of 2 years of experience in dental billing.
  
• Proficiency in dental billing software (e.g., Dentrix, Eaglesoft, Open Dental, or similar systems).
  
• Thorough understanding of dental insurance policies, EOBs, and coding (e.g., CDT codes).
  
• Strong organizational and multitasking skills.
  
• Excellent communication and problem-solving abilities.
  
• Experience with claims appeals and handling insurance disputes.
  
• Knowledge of fee schedule updates and payer-specific requirements.
  
• Knowledge of HIPAA compliance and confidentiality regulations.
  
• High school diploma or equivalent; additional certifications in billing or medical administration are a plus.
  

Working Hours: This full-time position requires Monday through Thursday, 9:00 AM to 6:00 PM, in-office, and 1-3 days per month remote.

Benefits: Health Insurance premium reimbursement, Dental, 401K, Wellness program,

Paid time off, sick days, and holidays.

Application Process: Interested candidates are encouraged to submit their resume and a cover letter detailing relevant experience to Carolyn@projectworthmore.org.

Equal Opportunity Employer: Project Worthmore is committed to creating a diverse and inclusive workplace and is proud to be an equal-opportunity employer.

Job Type: Full-time

Pay: $60,000.00 - $65,000.00 per year

Benefits:

• 401(k)
  
• Dental insurance
  
• Employee discount
  
• Health insurance
  
• Paid time off
  
• Retirement plan
  

Experience:

• Dental Billing: 3 years (Preferred)
  

Ability to Commute:

• Aurora, CO 80010 (Required)
  

Ability to Relocate:

• Aurora, CO 80010: Relocate before starting work (Required)
  

Work Location: In person