Central Billing Office Specialist CBO

4 weeks ago

Morrisville, United States Affordable Care LLC Full time
Overview:

The CBO Specialist takes responsibility for revenue cycle functions that happen outside the patient flow experience, directly supporting practice staff from a centralized processing center.  The specialist provides expertise and gives advice to affiliated practice staff with the aim of optimizing Dental commercial insurance and Dental Medicaid participation, as well as effective and timely follow up of account receivable balances due from insurance and patients.  In conjunction with the practices, they also address credit balances.

 

 They provide focused training and on-going assistance to practice staff and other support personnel to ensure practice level proficiency in plan administration, revenue maximization, and accurate receivable records.

 

 They take responsibility for having an overall familiarity and, through their liaison relationship with the practices, exert reasonable control over assigned outstanding accounts receivable (debit and credit).

Responsibilities:

Position Duties and Responsibilities:

  • Daily, or as directed, batch process insurance claims for assigned practices.  Further, works all claim issues through to clearinghouse resolution and acknowledgment of receipt by the payer. 
  • Analyzes and handles exceptions flowing from payment posting.  Adjustment handling per policy.
  • Responding to receivable related questions/requests from the field teams in a quick and efficient manner, requiring keen understanding of plan policies and all revenue cycle functions. Including but not limited to: Enrollment, Eligibility &Verification, Claims Processing, Payment and adjustment posting, Insurance and Patient Accounts Receivable processes.
  • Troubleshooting and resolving practice issues related to plan policy, coverage; Dentrix and technological interfaces.  Handles appropriate support requests along with other team members.
  • Is the first line of practice action for receivables status-ed by the outsource vendor.  Acts as practice liaison for those issues requiring on-site assistance.  Tracks issues through to resolution.
  • Analyzes outstanding patient balances, following assigned policy steps including monthly batch statement processing, any collection letters and, in some cases, coordination with outside collection agency.
  • Investigates credit balances, recommending resolution to assigned practices.
  • Keep abreast of all policy and coverage changes including reimbursement rules, and the laws and regulations governing billing and collection activities.
  • Ability to work independently and collaboratively within a team environment.
  • Log all daily tasks as well as practice calls and emails taken in Sales Force. 
  • Perform other duties as new opportunities arise and/or are assigned.
Qualifications:

Qualifications

  • Ability to interpret and effectively communicate insurance regulations.
  • Excellent verbal and written communication skills.
  • Ability to facilitate telephone, in-person, and/or web-based training sessions.
  • Excellent problem-solving skills.
  • Well organized, accurate, and thorough.
  • Adaptable; readily adjusts work schedule to adhere to changes in the work environment and able to manage competing demands.
  • Adept at prioritizing, planning work activities, and developing reasonable action plans.
  • Proficiency in all Microsoft Office products.

 

Education and Experience Requirements:

  • Associates degree required, bachelor’s degree preferred.
  • Minimum five years commercial insurance or Medicaid experience preferred.

 

Computer Skills:                                                        

  • Proficiency in a Microsoft Windows environment.
  • Proficiency with dental or medical software; Dentrix and/or EagleSoft preferred.

 

Core Competencies: To perform the job successfully, an individual should demonstrate the following competencies to perform the essential functions of this position. 

  • High level of customer service orientation.
  • Ability to assess development needs of affiliated auxiliary practice staff.
  • Knowledge of accounting policies and practices necessary to understand impact of outstanding receivables (debit and credit).
  • Must possess strong skills in the areas of interpersonal communication, analysis, critical thinking, attention to detail, and multi-tasking.
  • Excellent verbal and written communication skills.
  • Ability to work independently and collaboratively within a team environment.

#ACI

  • Central Billing Office Specialist CBO

    1 month ago

    Morrisville, United States Affordable Care LLC Full time

    Overview: The CBO Specialist takes responsibility for revenue cycle functions that happen outside the patient flow experience, directly supporting practice staff from a centralized processing center.  The specialist provides expertise and gives advice to affiliated practice staff with the aim of optimizing Dental commercial insurance and Dental Medicaid...

  • Billing Specialist

    2 months ago

    Morrisville, United States BE&K Building Group Full time

    We are seeking a qualified Billing Specialist to join our team. The ideal candidate will be an organized, detail-oriented individual who is able to multitask and work independently. Proficient in MS Office.Key ResponsibilitiesInvoice Preparation and Management:Generate and issue invoices based on project progress and contractual terms.Review and verify...

  • Billing Specialist

    1 month ago

    Morrisville, United States BE&K Building Group Full time

    Job DescriptionJob DescriptionWe are seeking a qualified Billing Specialist to join our team. The ideal candidate will be an organized, detail-oriented individual who is able to multitask and work independently. Proficient in MS Office.Key ResponsibilitiesInvoice Preparation and Management:Generate and issue invoices based on project progress and contractual...

  • Billing and Collections Specialist

    2 weeks ago

    Morrisville, North Carolina, United States Carolina Restoration Services of North Carolina Inc Full time

    Employment Type: Full-time Non-exemptHours: 8:00am-5:00pm Monday - Friday (hours may vary)Benefits: Comprehensive benefits package including:Health, Vision, and Dental InsuranceRetirement Plan with Company MatchPaid Time OffPaid HolidaysPosition Overview: The Accounts Receivable Specialist plays a vital role in the financial operations of Carolina...

  • Billing and Collections Specialist

    2 weeks ago

    Morrisville, North Carolina, United States Carolina Restoration Services of North Carolina Inc Full time

    Employment Type: Full-time Non-exempt Working Hours: 8:00am-5:00pm Monday - Friday (hours may vary) Benefits Overview: Comprehensive benefits package including: Health, Vision, and Dental insurance Retirement plan with company contribution Paid time-off Paid holidays Position Overview: The Accounts Receivable Specialist plays a crucial role in the...

  • Revenue Cycle Management Specialist

    2 weeks ago

    Morrisville, North Carolina, United States Affordable Care LLC Full time

    Overview: The Revenue Cycle Management Specialist is responsible for overseeing financial processes that occur outside the direct patient interaction, providing essential support to practice personnel from a centralized processing hub.This role involves offering expertise and guidance to affiliated practice teams to enhance participation in Dental commercial...

  • Locum Dentist Central, North Carolina

    2 months ago

    Morrisville, United States ICON Medical Network Full time

    Locum Dentist *119376: Central, North Carolina Multiple offices throughout the state needing FT/PT coverage Comfortable with all aspects of General Dentistry (will have clinical autonomy!) Ability to work with nationally recognized DSOs with industry leading rates All requested travel accommodations covered Never worry about your travel accommodations...

  • Order Intake Specialist

    3 months ago

    Morrisville, United States Careers at Gentell Full time

    Job DescriptionJob DescriptionDescription:Gentell is one of the largest vertically integrated wound care companies in the world. Based in Yardley, PA and with offices, distribution centers and manufacturing plants around the world, our purpose is to make a positive difference in the quality of life for the injured, the chronically ill and those near the end...

  • Billing and Collections Coordinator

    2 weeks ago

    Morrisville, North Carolina, United States Carolina Restoration Services of North Carolina Inc Full time

    Employment Type: Full-time Non-exempt Hours: 8:00am-5:00pm Monday - Friday (hours may vary) Benefits: Comprehensive benefits package including: Health, Vision, Dental insurance Retirement plan with company match Paid time-off Paid holidays The Accounts Receivable Specialist plays a vital role in generating invoices for services provided by various...

  • Medical Equipment Service Specialist

    2 weeks ago

    Morrisville, North Carolina, United States Kreg Therapeutics Inc Full time

    Job OverviewKreg Therapeutics, a leader in specialty medical equipment, is looking for a dedicated Medical Equipment Service Specialist.This role involves the delivery, maintenance, and retrieval of rental medical devices. The representative must effectively communicate with Central Dispatch and attentively address customer requirements. The specialist is...

  • Client Engagement Specialist

    2 weeks ago

    Morrisville, North Carolina, United States PlayMetrics Full time

    Client Engagement Specialist, Customer Success – Full TimePlayMetrics, a rapidly expanding B2B SaaS organization in the youth sports sector, is in search of a Client Engagement Specialist to join its Customer Success team.The Client Engagement Specialist is tasked with empowering clients to effectively implement and utilize the PlayMetrics software...

  • Client Relations Specialist

    2 weeks ago

    Morrisville, North Carolina, United States Genesse Scientific Corporation Full time

    About Genesee Scientific CorporationAs a prominent player in the life sciences sector, we pride ourselves on being a key supplier to global research markets. Our extensive product offerings are complemented by exceptional customer support, ensuring that every laboratory is equipped with the necessary tools and assistance.Join Us in Making an ImpactAt...

  • National Accounts Customer Service Specialist

    1 week ago

    Morrisville, United States JF Petroleum Group Full time

    Job Type Full-time Description The JF Petroleum Group stands as a premier leader in the North American fueling infrastructure industry, offering comprehensive turn-key solutions for distribution, construction, and service needs. We serve a diverse clientele including retail fueling stations, commercial and government fleets, and emergency power customers. ...

  • Insurance Client Relations Specialist

    2 weeks ago

    Morrisville, Pennsylvania, United States Joe Dezutel Full time

    Position OverviewThe Insurance Client Relations Specialist will serve as a primary liaison for our clientele. The ideal candidate embodies a friendly demeanor, integrity, and a genuine commitment to assisting others.Key Responsibilities:Responding to incoming inquiries promptlyProcessing client payments efficientlyClarifying coverage options, billing...

  • Finance & Strategy Analyst - HA Central Administration

    1 month ago

    Morrisville, United States UNC Health Care Full time

    Job Description Description Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Manages finances, performs accounting tasks, prepares monthly financial reports and monitors monthly budget expenditures, and identifies process...

  • Insurance Relations Coordinator

    5 days ago

    Morrisville, North Carolina, United States Affordable Care Full time

    Job Summary:The Insurance Relations Manager will play a crucial role in coordinating and communicating with our dental and health plan payers at Affordable Care. This position will support all of our 450 clinics, providers, and staff to help manage and communicate all things insurance, claims, billing, rates, and credentialing.Key Responsibilities:Oversee...

  • Administrative Office Assistant

    3 weeks ago

    Morrisville, United States QuestBlue Systems, Inc Full time $28 - $30

    Job DescriptionJob DescriptionWe are seeking a detail-oriented and highly organized Administrative Office Assistant to join our team. The successful candidate will be responsible for providing administrative support to ensure efficient operation of the office. The right candidate will be comfortable working with a high degree of attention to detail by...

  • Installation Specialist for Sustainable Heating Systems

    2 days ago

    Morrisville, United States Spectrum Ventures Full time

    We are seeking a skilled professional to join our team at Spectrum Ventures as an Installation Specialist for Sustainable Heating Systems. As a key member of our team, you will play a crucial role in shaping climate-neutral living by installing renewable heating systems, such as heat pumps, solar heating systems, and fuel cells.Key Responsibilities:Install...

  • Physician Compliance Specialist

    3 days ago

    Morrisville, North Carolina, United States UNC Health Full time

    Job SummaryWe are seeking a highly skilled and experienced Physician Compliance Specialist to join our team at UNC Health. As a key member of our compliance department, you will play a critical role in ensuring that our organization adheres to all relevant laws, regulations, and industry standards.Key ResponsibilitiesAuditing and Monitoring: Conduct thorough...

  • Healthcare Insurance Relations Manager

    2 days ago

    Morrisville, North Carolina, United States Affordable Care Full time

    About the RoleWe are seeking a highly skilled and experienced Insurance Relations Manager to join our team at Affordable Care. This is a critical role that requires strong communication and problem-solving skills, as well as the ability to work effectively with various stakeholders.Key ResponsibilitiesVendor Management: Oversee the performance of outsourced...