Revenue Cycle Specialist - Claims Follow Up

Location: Guardian Corporate

About the role

Reporting to the Revenue Cycle Manager and Vice President of Insurance Operations and Revenue Cycle Management, the Revenue Cycle Specialist - Claim's Follow Up is responsible for reviewing and resolving outstanding insurance claims in multiple dental offices and identifying areas of opportunity to decrease aging and boost collections for training or other recommendations in the office’s current revenue cycle processes. The RCS will be required to follow up on assigned outstanding claims utilizing high-level problem-solving, consistently meet daily goals and project deadlines, and establish and maintain strong relationships with partner offices and various leaders in the organization. The RCS will work closely with the Revenue Cycle Manager to provide revenue cycle support aligned with the Company’s core values and ensure adherence to the Company’s internal control process and policies. The opportunity to engage in a values-based organization where all 2000+ (and growing) team members strive to exemplify our core values every day.

Responsibilities

• Work assigned outstanding insurance claims for follow-up resolution and cleaning up of aging balances for one or more dental offices at a time
• Perform proper insurance claims submission with payers to ensure timely processing of claims and maximized insurance payments
• Identify areas of opportunity and prepare solutions to improve RCM KPI’s, including collections %, AR days, % of aging past-due
• Execute projects on time according to project deadlines, effectively communicating progress and trends
• Interact with individuals at all levels of the company as well as external vendors
• Contribute to overall company programs and projects, communication cascade and process improvement
• Handle confidential business matters
• Recommend work process improvements
• Anticipate needs of senior leadership and respond proactively to those needs
• Work independently or on a team for special assignments

Qualifications

• General understanding of dental revenue cycle management functions, with a strong focus on insurance claims follow-up and denials
• Minimum of 3-5 years’ experience in a revenue cycle specialist and/or similar experience
• Minimum of 5 years in dental insurance & billing and/or similar experience
• Familiarity with various practice management software, like Denticon, Dentrix, Eaglesoft, OpenDental, Practiceworks, PlanetDDS, Curve, etc.
• Demonstrate team and inter-departmental collaboration
• Demonstrate strong time management abilities
• Detail-oriented, with strong research and analysis skills
• High level of proficiency in written and oral communications
• Thrive in a fast-paced environment, including flexibility in priorities and scheduling
• Adaptability – responding quickly to changes and adjusting initiatives and priorities accordingly
• Solid organization skills, with the ability to track and weigh multiple priorities at once to ensure more efficient and effective time management
• Advanced computer skills, including Microsoft Outlook, Word, Excel, and PowerPoint

Pay

Salary range of 35K - 50K D.O.E

Benefits

• Competitive health, dental, vision, long-term and short-term disability, and life insurance plans
• Participation in a 401(k) plan with company match

Schedule

Remote workforce model & flexible schedule