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Dental Insurance Operations Specialist

2 months ago

Sarasota, Florida, United States Aligned Dental Partners Full time
Job Summary

Aligned Dental Partners is seeking a highly skilled Dental Insurance Operations Specialist to join our revenue cycle team in Sarasota. As a key member of our team, you will be responsible for organizing and strategizing to increase collections, improving insurance processing, and working with leadership to develop and implement revenue cycle policies and workflow to achieve operational excellence.

Key Responsibilities
  • Organize and Strategize to Increase Collections
  • Improve Insurance Processing
  • Work with Leadership to Develop, Plan, Organize, and Implement Revenue Cycle Policies and Workflow to Achieve Operational Excellence
  • Maintain Confidentiality in Compliance with HIPAA Regulations
  • Follow up on Denied / Rejected Insurance Claims
  • Train Front Office Teams on Required Images, Narratives, and Supporting Documentation to Process Claims
  • Post Insurance Checks
  • Audit Patient Accounts
  • Reduce Adjustments and Bad Debt
  • Process Patient Refunds
  • Oversee Resolution of Contract Payment Issues and Assist in Collection Efforts
  • Liaison with and Support to the Dental Offices on Insurance Posting, Insurance Verifications, EOB Training, etc.
  • Assist in External Financial Statement Audits, Insurance Audits/Inquiries, and Internal Compliance Requests
  • Other Duties as Requested or Assigned
Required Qualifications
  • 3+ years of dental billing and/or dental front desk experience
  • Minimum of 1 year of AR or revenue cycle experience
  • HS Diploma minimum; prefer advanced education in a related field
  • Knowledge of Dental Insurance and Terminology and Dental Software
  • Motivated to Collect & Resolve Claims
  • Excellent Written and Verbal Communication
  • Excellent Working Knowledge of MS Office, Excel, and Proficient Computer Skills in General, Open Dental Experience a PLUS
  • Extremely Detailed and Organized
  • Must be a Self-starter and a Self-motivator
  • Ability to Work Independently and Follow Through on Tasks
  • Strong Team Player, Analytical, Critical Thinking, and Problem-solving Skills
  • Ability to communicate within all levels of the organization
Benefits
  • Competitive compensation based on experience
  • Employer-paid health insurance (Currently 90% of the Base Plan's Premium)
  • In-house Dental Benefit Plan
  • Life Insurance Available
  • Paid Holidays and a PTO Program