Revenue Cycle Specialist

3 hours ago

Albuquerque, New Mexico, United States CHOICE Healthcare Services Full time

Dental Revenue Cycle Specialist
Summary
The Dental Revenue Cycle Specialist is responsible for ensuring accurate and timely billing of accounts, accuracy of account balances and coordinating with other billing team members to ensure billing accuracy.

This is a remote position and we are seeking candidates who live in Pacific and Mountain time zones, as we are a West Coast based organzation.
Pay Range $ /hour (based on experience)

At CHOICE Healthcare Services, our mission is to provide everyone access to the healthcare they need. CHOICE is the largest provider of pediatric dental care in the Southwest United States, and we pride ourselves on delivering high quality care to children in our communities.

What we provide to you as a CHOICE teammate

  • Care for your wellbeing and work-life balance
  • Professional and personal growth
  • Experienced leadership support
  • Fun and supportive team dynamic with events and celebrations
  • Comprehensive benefit package

Essential Duties and Responsibilities
include the following. Other duties may be assigned.

  • Ensure daily billing and adjustments are accurate and timely
  • Ability to read insurance benefits and explanation of benefits (EOB)
  • Process pre-authorizations with HMO insurances & Denti-Cal
  • Review outstanding claims, follow up on aging for both patient and insurance balances
  • Send statements with outstanding balances to patient
  • Process appeals/denials with insurances
  • Assists front office staff at practices with insurance and account questions as needed
  • Verify insurance eligibility and benefits for patients
  • Cross trained in other aspects of the department as assigned
  • Ability to work in fast paced environment
  • Willingness to cover other duties as assigned
  • Regular, predictable attendance is required
  • Ability to get along and work effectively with others

Education/Experience

  • High school diploma or equivalent
  • Medical Billing & Coding Certificate, preferred
  • Minimum of 2 years of experience working in medical collections and accounts receivables
  • Experience working in a dental or orthodontics billing practice or similar environment
  • Experience working with EOBs and healthcare accounts receivables

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