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Accounts Receivable Specialist
North American Dental Group (NADG). Processing dental claims for payment by insurance companies to ensure appropriate and timely coding, billing and collections .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in processing dental claims, billing compliance, and revenue cycle management, with a strong focus on accuracy and attention to detail. Proficient in utilizing practice management software and insurance portals to ensure timely collections and resolution of discrepancies.
Highest-signal resume keywords
Dental Claims ProcessingRevenue Cycle ManagementPractice Management SoftwareInsurance VerificationAttention to Detail
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims AdjudicationPayment PostingData Entry10-Key by TouchBilling ComplianceCash BalancingReconciliationAging Accounts ReceivableManual Re-BillsElectronic Submission
Soft Skills
Problem-SolvingInterpersonal SkillsOrganizational SkillsAnalytical SkillsTeam Collaboration
Tools & Technologies
Insurance PortalsClearing HousesBanking Reconciliation SoftwareMS OfficeExcel
Industry Keywords
Dental Office WorkflowsInsurance GuidelinesFee SchedulesClaim SubmissionInsurance Accounts Receivable
About the role
Key responsibilities & impact- Processing dental claims for payment by insurance companies to ensure appropriate and timely coding, billing and collections
- Performs manual and electronic posting functions for all payors/patient accounts, including cash balancing and reconciliation of bank deposits
- Post payment corrections, payment transfers and NSF’s
- Research and clear unapplied accounts using established identification functions/process
- Maintains knowledge of insurance rejections/denial processing and appropriately posts information for collection and follow up activity
- Responsible for all aspects of follow up and collections, including making phone calls and accessing payer websites
- Identify issues or trending and provide suggestions for resolution
- Accurately and thoroughly documents pertinent collection activity performed
- Review account information and necessary system applications to determine the next appropriate work activity
- Reviews, investigates and resolves claims that have been rejected or denied by insurance
- Verify claims adjudication utilizing appropriate resources and applications
- Perform appropriate billing functions, including manual re-bills and electronic submission to payers
- Edit claims to meet and satisfy billing compliance guidelines for electronic claim submission
- Initiates appeals and ensures all required documentation is submitted in the appeal process
- Answers patient billing questions and acts as a resource for patient billing questions
- Maintains ledger accuracy and account integrity
- Analyzes and corrects insurance accounts receivable and payment posting ledger and posting errors
- Researches payor recoupments, identifies errors or opportunities to dispute and restore lost revenue
- Researches and validates patient refunds
- Verifies insurance benefits utilizing websites, fax and phone
- Reviews patient accounts to determine and correct discrepancies, including account audits, aging AR, unapplied adjustments, resolving credit balances and unposted payments
- Researches and follows up on correspondence associated with assigned accounts
- Performs other duties and responsibilities as assigned by leadership
Requirements
What you’ll need- High School Diploma or equivalent
- Minimum 3-5 years Dental or Medical Experience
- Prior experience in Dental Office workflows, Revenue Cycle functions to include scheduling, registration, insurance verification, fee schedules, claim submission, charging/coding requirements, insurance AR follow up and payment posting process
- Experience with practice management software systems, insurance portals, clearing houses, insurance guidelines, banking reconciliation software, proficient in intermediate PC skills (MS Office—strong excel skills)
- Strong computer literacy, excellent Math and problem-solving skills
- Data entry and 10-key by touch
- Strong interpersonal and organization skills
- Ability to work within a team setting and as an individual contributor
- Proven attention to detail with strong analytical skills
Benefits
Comp & perks- A comprehensive benefits package including 401k
- Competitive paid time off for full-time and part-time team members which increases as you grow in your career with us
- Constant opportunities for career growth and continuing education
- A professional and flexible atmosphere that allows for freedom and individuality