RCM Specialist - Insurance AR (Dental)

51 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

  • Manage assigned dental insurance AR from follow-up through final resolution.
  • Research and resolve unpaid, underpaid, denied, rejected, and corrected claims using payer portals, clearinghouse tools, practice management systems, EOBs, and ERAs.
  • Handle reconsiderations, appeals, requests for additional information, and other reimbursement barriers.
  • Prioritize claims based on aging, financial impact, deadlines, payer response, and RCM priorities.
  • Protect timely filing, reconsideration, and appeal deadlines.
  • Identify underpayments, inappropriate denials, reimbursement discrepancies, and revenue recovery opportunities.
  • Maintain complete documentation of claim status, payer communications, actions, and next steps.
  • Track and report recurring denial, reimbursement, payer, and claim-processing trends.
  • Collaborate with RCM, Operations, Payer Relations, Credentialing, clinical teams, and other internal partners.
  • Participate in process improvements, broader RCM functions, and special projects.

Requirements

  • Demonstrated experience with dental insurance accounts receivable.
  • Experience with dental claim follow-up, denial resolution, corrected claims, appeals, underpayments, and aging AR.
  • Strong knowledge of dental insurance reimbursement, payer requirements, adjudication, denial reasons, timely filing, and terminology.
  • Experience interpreting dental EOBs/ERAs, payer responses, contractual adjustments, and reimbursement discrepancies.
  • Denticon experience strongly preferred; candidates able to learn complex practice management systems will also be considered.
  • Ability to independently research unfamiliar issues and drive claims to resolution with minimal oversight.
  • Ability to identify recurring payer, process, configuration, and upstream problems.
  • Strong attention to detail, organization, prioritization, and documentation skills in a high-volume environment.
  • Strong Excel skills, including organizing, filtering, reconciling, and analyzing AR data.
  • Ability to communicate trends clearly, collaborate cross-functionally, and work effectively remotely.

Benefits

  • Pay range of $25–$27 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 employee perks.
  • Supportive work environment with opportunities for professional growth.

Interested in this position?

Apply directly on the company website

Apply Now

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