Dental Insurance AR Specialist Job Opening

Position Summary:

· The Dental Insurance AR Specialist is a key member and contributor to the success of the Allied Dental. This “attention to detail” position provides in-depth support for all insurance accounts receivable duties.

· This position is responsible for working complex insurance claims including rejections, denials and unresolved claims by statusing claims online, calling insurance companies, case managers, adjusters and/or employers.

· Meeting daily and weekly account goals requires efficient and effective ongoing communications with insurance carriers.

· Great interpersonal skills and teamwork abilities are required to build rapport with the team members, staff and insurance carriers.

Responsibilities:

· Responsible for thorough and exhaustive communications to insurance companies to quickly resolve unpaid dental claims.

· Ensures all insurance related duties are completed in a timely and accurate manner to ensure excellent patient relations and financial success for the Practice.

· Achieves collections goals by effectively managing accounts receivable, prioritizing account reviews and utilizing time management skills.

· Manages and assists team members as needed with payment and insurance processes

· Responsible for accurately working Insurance AR accounts and exhausting all efforts when working an account.

· Performs critical thinking to accurately diagnose account issues and resolve claims timely.

· Prioritizes daily workload to efficiently work claims based on $ amount and timely filing deadlines.

· Ensures all claims are working prior to payor timely filing deadlines are hit.

· Performs root cause analysis across multiple claims issues and various payors to ensure timely resolution for patients.

· Serves as a liaison between insurance carriers, staff and patients to resolve any concerns.

· Maintains a positive attitude with co-workers, clients, patients and insurance companies.

· Facilitate resolution of accounts by working with the dental office to obtain necessary information in a timely manner

· Understands dental terminology, explanation of benefits, dental billing protocols and coding importance.

· Exhibits good working knowledge of Excel for reporting, productivity tracking, etc.

· Treats confidentiality of patient data and client information with utmost importance.

· Other duties as required.

Qualifications and Education Requirements

· Minimum of three years’ dental collections experience.

· Training/education may be substituted for some of the experience.

· Experience reading and interpreting dental EOB's.

· Demonstrated knowledge of ICD9, ICD10 and CDT codes.

· Knowledge of PPO, Medicaid and managed care plans.

· Detail-oriented, independent thinker with critical thinking skills is a must.

Job Type: Full-time