Medical Billing AR Specialist

38 minutes ago
Full-time
Mid Level
Operations
Premier Care Dental Management

Premier Care Dental Management

Premier Care Dental Management specializes in dental management services, supporting a diverse range of dental practices to enhance their operational efficiency and patient care, while promoting affordable and accessible dental services across the Nort...

Health Care Providers & Services
251-1K
Founded 2012

Description

  • Prepare and submit medical claims for eligible dental and oral procedures.
  • Manage medical pre-authorizations, including documentation, payer requests, and follow-up.
  • Track claims through adjudication and resolve outstanding claims, denials, corrected claims, reconsiderations, and appeals.
  • Work assigned dental insurance AR, prioritizing balances by aging, financial impact, and timely filing requirements.
  • Review claim issues, identify root causes, and recommend corrective actions.
  • Track and report recurring denial, reimbursement, documentation, authorization, and coding trends.
  • Maintain accurate claim records, payer communications, supporting documentation, and next steps.
  • Collaborate with clinical, operational, and RCM teams to obtain information needed for claims and appeals.
  • Maintain medical billing and follow-up workflow documentation for continuity and cross-training.
  • Support process improvement initiatives and additional RCM projects as needed.

Requirements

  • Demonstrated experience with medical billing for dental and/or oral procedures.
  • Experience with medical claim submission, pre-authorizations, denials, appeals, and reimbursement resolution.
  • Experience managing dental insurance AR, including aging claims, corrected claims, denials, and appeals.
  • Strong understanding of medical and dental insurance reimbursement processes and payer requirements.
  • Experience interpreting EOBs/ERAs, payer responses, denial reasons, authorization requirements, and clinical documentation.
  • Familiarity with medical claim forms, coding requirements, and documentation standards for dental procedures billed to medical insurance.
  • Denticon experience strongly preferred; significant dental-to-medical billing expertise with the ability to learn practice management systems will also be considered.
  • Ability to independently research issues, determine root causes, and drive claims to resolution.
  • Strong attention to detail, organization, prioritization, and documentation skills in a high-volume environment.
  • Strong Excel skills, including organizing, filtering, reconciling, and analyzing claim data.
  • Ability to identify trends and collaborate effectively across RCM, clinical, and operational teams.
  • Ability to work independently in a remote environment.

Benefits

  • $26–$28 per hour.
  • Flexible health and vision insurance plans.
  • 401(k) retirement plan with employer matching.
  • Up to three weeks of paid time off plus an annual personal day.
  • Discounted in-house dental services for employees and immediate family.
  • Additional fringe benefits and ongoing perks.
  • Supportive work environment with career growth opportunities.

Interested in this position?

Apply directly on the company website

Apply Now

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