Medical Billing AR Specialist

We need to output HTML fragment with sections: About the role? The posting includes Position Summary, Essential Duties & Responsibilities, Qualifications, Key Success Measures, Our Benefits, Pay Range, etc. We need to use

for section headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We should map content accordingly. We must not repeat job title as heading. No Job ID etc. Remove boilerplate (EEO, etc). Keep all substantive info. We need sections only when posting has real specific content. So we can have: - About the role (maybe from Position Summary) - Responsibilities (Essential Duties & Responsibilities) - Qualifications (Qualifications) - Skills (maybe from Qualifications includes skills, but we can include a Skills section if we have specific skill list; but we could combine into Qualifications. The instruction: Prefer a few substantive sections over many thin ones. So we could have About the role, Responsibilities, Qualifications, Benefits, Pay. Possibly also Key Success Measures could be part of Responsibilities or a separate section like Performance Metrics, but not in allowed headings list. Allowed headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can use Requirements as similar to Qualifications. But we have Qualifications already. Could use Skills for skill list extracted from Qualifications. But we might just have Qualifications and Skills combined? Better to follow allowed headings: Use Qualifications for qualifications, Skills for skills, Benefits for benefits, Pay for pay, Responsibilities for duties, About the role for summary. We need to avoid filler like "commensurate with experience". Not present. We need to output only HTML fragment, no /, no markdown fences. Let's extract content. Position Summary paragraph: "The Medical Billing & AR Specialist is responsible for managing medical billing activities related to dental procedures, including medical claim submission, pre-authorizations, claim follow-up, denial resolution, and appeals. This role will also support dental insurance accounts receivable follow-up and other Revenue Cycle Management functions based on organizational priorities and business needs. This position requires strong knowledge of dental-to-medical billing and the ability to independently manage claims from initial submission through final resolution. The Medical Billing & AR Specialist will identify and report recurring denial and reimbursement trends, determine root causes, and provide actionable feedback to improve first-pass payment and reduce preventable rework. The role will also support the development and maintenance of documented internal medical billing workflows to promote operational continuity, cross-training, and consistent execution." We'll put that in

under About the role. Responsibilities: list of duties from Essential Duties & Responsibilities. We'll create

• each bullet. Qualifications: list from Qualifications section. We'll create
  • . Skills: maybe extract skill list from Qualifications: Strong understanding..., Experience interpreting..., Denticon experience..., Familiarity..., Ability to independently research..., Strong attention..., Strong organizational..., Strong Excel skills..., Ability to identify patterns..., Ability to collaborate..., Ability to work independently... We'll put those as
    • under Skills. Benefits: from Our Benefits bullet list. We'll create
      • . Pay: from Pay Range: $26/HR - $28/HR and also Salary Range $26—$28 USD. We'll put in

        maybe. We should not duplicate. Also note there is a line "Step into a new era with PCDM ..." that's fluff but maybe not needed; it's not substantive? It's descriptive but could be considered boilerplate? It's about work environment; maybe we can include in About the role? But it's not required; we can ignore as it's fluff. The instruction: Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. That paragraph about PCDM is not boilerplate but could be considered fluff; but it's substantive about work environment. However we have no section for "Work Environment". Could include in About the role as extra sentence. But we might keep it as part of About the role to preserve all substantive info. The instruction: Preserve ALL substantive information; do NOT invent or summarize away detail. So we should include that description. It's not a heading; we can add to About the role paragraph. Also there is EEO paragraph which we must remove. Also there is "Salary Range $26—$28 USD" duplicate of Pay Range; we can keep one. Now construct HTML. We'll start with

        About the role

        then

        ... combined summary + work environment description. Then

        Responsibilities

        with each duty. Then

        Qualifications

        with qualifications. Then

        Skills

        with skills. Then

        Benefits

        with benefits. Then

        Pay

        Pay range: $26/hr - $28/hr.

        We should not include Schedule section as not present. Make sure to close tags. Let's draft. Responsibilities bullets: copy each sentence from Essential Duties & Responsibilities. List: - Prepare and submit medical claims for eligible dental and oral procedures, ensuring accurate coding, required documentation, and payer-specific requirements are met. - Manage medical pre-authorizations from initial submission through determination, including obtaining necessary clinical documentation, responding to requests for additional information, and performing timely follow-up. - Perform follow-up on outstanding medical claims through final resolution, including payer outreach, corrected claims, reconsiderations, denials, appeals, and additional documentation requests. - Review rejected and denied claims to determine root cause and take appropriate corrective action. - Identify, track, and report recurring denial and reimbursement trends, including payer-specific patterns, documentation deficiencies, authorization issues, coding concerns, and other barriers to first-pass payment. - Proactively escalate identified trends and recommend corrective actions designed to prevent recurrence and improve reimbursement outcomes. - Work assigned dental insurance AR, including outstanding claims, denials, appeals, corrected claims, and other follow-up activities as organizational priorities and capacity require. - Prioritize assigned AR based on aging, financial impact, timely filing requirements, payer response, and other established RCM standards. - Maintain complete and accurate documentation of claim status, payer communication, actions taken, supporting documentation, and required next steps. - Monitor claims through adjudication and ensure appropriate reimbursement or final disposition. - Partner with clinical, operational, RCM, and other internal teams to obtain information necessary for claim submission, authorization, appeal, and resolution. - Maintain accurate, current documentation of medical billing, pre-authorization, and follow-up workflows to support operational continuity, cross-training, and consistent execution. - Participate in the development and improvement of processes designed to increase clean claim performance, first-pass payment, and overall AR resolution. - Support additional Revenue Cycle Management functions and special projects as needed based on organizational priorities and business needs. Qualifications bullets: - Demonstrated experience with medical billing for dental and/or oral procedures required. - Experience with medical claim submission, medical pre-authorizations, claim follow-up, denials, appeals, and reimbursement resolution. - Demonstrated experience working dental insurance accounts receivable required, including claim follow-up, denial resolution, corrected claims, appeals, and aging AR. - Strong understanding of medical and dental insurance reimbursement processes and payer requirements. - Experience interpreting EOBs/ERAs, payer responses, denial reasons, authorization requirements, and supporting clinical documentation. - Denticon experience strongly preferred. Candidates with significant dental-to-medical billing expertise and demonstrated ability to quickly learn complex practice management systems will also be considered. - Familiarity with medical claim forms, coding requirements, and documentation standards applicable to dental procedures billed to medical insurance. - Ability to independently research claim and reimbursement issues, determine root cause, and drive claims through resolution with minimal oversight. - Strong attention to detail and ability to manage a high-volume workload while maintaining accuracy. - Strong organizational, prioritization, and documentation skills. - Strong Excel skills, including the ability to organize, filter, reconcile, and analyze claim and reimbursement data. - Ability to identify patterns and translate claim-level findings into actionable trends and recommendations. - Ability to collaborate effectively across RCM, clinical, operational, and other functional teams. - Ability to work independently and effectively in a remote environment. Skills bullets: we can extract skill-specific items: - Strong understanding of medical and dental insurance reimbursement processes and payer requirements. - Experience interpreting EOBs/ERAs, payer responses, denial reasons, authorization requirements, and supporting clinical documentation. - Denticon experience (strongly preferred). - Familiarity with medical claim forms, coding requirements, and documentation standards applicable to dental procedures billed to medical insurance. - Ability to independently research claim and reimbursement issues, determine root cause, and drive claims through resolution with minimal oversight. - Strong attention to detail and ability to manage a high-volume workload while maintaining accuracy. - Strong organizational, prioritization, and documentation skills. - Strong Excel skills, including the ability to organize, filter, reconcile, and analyze claim and reimbursement data. - Ability to identify patterns and translate claim-level findings into actionable trends and recommendations. - Ability to collaborate effectively across RCM, clinical, operational, and other functional teams. - Ability to work independently and effectively in a remote environment. We could also include "Demonstrated experience with medical billing for dental and/or oral procedures" but that's more qualification. We'll keep skills as above. Benefits bullets: - Flexible Health and Vision Insurance Plans: Tailored options for you and your family's well-being. - 401(K) Retirement Plan with Matching: Secure your financial future with our employer-matched plan. - Generous Paid-Time Off: Accrue up to 3 weeks, plus an annual "you" day for self-care. - Exclusive In-house Dental Program: Heavily discounted services for you and your immediate family. - Extra Perks and Fringe Benefits: Enjoy additional benefits and ongoing perks for our dedicated teams. - Incredible work environment of skilled individuals with the opportunity for massive growth! (maybe include as benefit? It's more environment; but we already have work environment in About the role. Could keep as benefit but it's fluff. Might be okay to include as benefit but it's not a typical benefit. However we should preserve substantive info; it's about work environment and growth. Could include in About the role instead. Let's keep it in About the role paragraph to avoid duplication. Thus Benefits list as above. Now About the role paragraph: combine Position Summary and work environment description. Position Summary: "The Medical Billing & AR Specialist is responsible for managing medical billing activities related to dental procedures, including medical claim submission, pre-authorizations, claim follow-up, denial resolution, and appeals. This role will also support dental insurance accounts receivable follow-up and other Revenue Cycle Management functions based on organizational priorities and business needs. This position requires strong knowledge of dental-to-medical billing and the ability to independently manage claims from initial submission through final resolution. The Medical Billing & AR Specialist will identify and report recurring denial and reimbursement trends, determine root causes, and provide actionable feedback to improve first-pass payment and preventable rework. The role will also support the development and maintenance of documented internal medical billing workflows to promote operational continuity, cross-training, and consistent execution." Work environment description: "Step into a new era with PCDM A modern practice environment designed for superior care and comfort. We embrace cutting-edge technology in a soothing environment that goes beyond your ordinary dental practice. We've thought through every step in the patient's experience to perfect our communication and care so that each visit is an eagerly anticipated event. We're a team that supports your success. Emphasizing health over sales, we cultivate a warm, supportive culture without the pressure of production quotas. Those motivated for growth in their career are encouraged and supported to reach their full potential." We'll combine into one paragraph. Now Pay: we have Pay Range: $26/HR - $28/HR and Salary Range $26—$28 USD.