Job Title: A/R Specialist

Department: Revenue Cycle Management

Reports to: A/R Manager

FLSA Status: Non-Exempt

Dental Account Receivable Specialists! ProSmile, the premier Dental Service Organization in the NJ/MD/PA tristate area is currently offering career opportunities working on our Revenue Cycle Management team. If you have experience in Dental Insurance Collections this might be the right role for you!

THIS JOB IS 100% REMOTE but must be available to work Eastern Time Zone

Responsibilities:

Responsible for accurately working Insurance AR accounts and exhausting all efforts to quickly resolve unpaid dental claims.

Ensures all dental insurance related duties are completed in a timely and accurate manner to ensure excellent patient relations and financial success for the Practices.

Achieves collections goals by effectively managing accounts receivable, prioritizing account reviews and utilizing time management skills.

Assists team members as needed with payment and insurance processes

Prioritizes daily workload to efficiently work claims based on $ amount and timely filing deadlines.

Ensures all claims are working prior to payor timely filing deadlines are hit.

Performs root cause analysis across multiple claims issues and various payors to ensure timely resolution for patients.

Serves as a liaison between insurance carriers, staff and patients to resolve any concerns.

Facilitates resolution of accounts by working with the dental office to obtain necessary information in a timely manner

Treats confidentiality of patient data with utmost importance.

Performs miscellaneous job duties as assigned

QUALIFICATIONS:

Minimum of three years' dental collections experience.

Experience reading and interpreting dental EOB's.

Demonstrated knowledge of CDT codes.

Knowledge of PPO, and Medicaid plans.

Detail-oriented, independent thinker with critical thinking skills is a must.

Understands dental terminology, explanation of benefits, dental billing protocols and coding importance.

Exhibits good working knowledge of Excel for reporting, productivity tracking, etc.

High School diploma or GED required

Benefits Summary

At ProSmile, we are committed to supporting the health and well-being of our employees and their families. We offer the following benefits for Full Time Benefits Eligible Positions (35+ hours per week) and Part Time Benefits Eligible Positions (30-35 hours per week):

Medical Insurance: Choice of five comprehensive Aetna medical plans, including options with low copays, deductible-sharing, and national provider networks.

Dental Insurance: MetLife plans offering preventative, basic, major, and orthodontic coverage options.

Vision Insurance: Davis and UHC vision plans with annual exams, eyewear allowances, and contact lens benefits.

Flexible Spending & Health Savings Accounts: Pre-tax savings accounts for medical, dependent care, and healthcare expenses.

Life & Disability Insurance: Employer-paid basic life and AD&D insurance, with voluntary life, short-term, and long-term disability plans.

Additional Perks:

Employee Assistance Program (EAP)

Identity Theft & Fraud Protection

Legal Support Services

Discount Programs (including pet insurance, travel, theme parks, electronics, etc.)

Wellness Programs

Financial Wellness and Planning Tools

Physical/Mental Demands and Work Environment The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand, walk and use hands and arms to operate general office equipment (PC, telephone, file cabinets, copier, fax machine and printer). The employee may occasionally lift and/or move between 10 and 25 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus. The employee may need to travel to healthcare practices. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually low to moderate. The Company reserves the right to modify the job description based upon its needs and may require the employee to perform functions beyond those mentioned above. Neither this job description nor any other communication creates an employment contract between the Company and the employee. Equal Employment Our culture encourages individual development, embraces an inclusive environment, rewards innovative excellence, and leads in provider and patient satisfaction. Prosmile values diversity, inclusion, and equity as matters of fairness and effectiveness. We are committed to hiring and retaining a staff that reflects the diversity of the communities we serve, fostering an inclusive working environment where staff of all backgrounds feel welcomed and engaged. ProSmile is an Equal Opportunity Employer and encourages applications from individuals underrepresented in the medical sector, including people of color, and persons with non-traditional work and educational experience. All who believe they meet the stated qualifications are invited to apply. Company Safety We believe that the best care for our patients starts with the best care for our employees. ProSmile is committed to proactively creating and maintaining an environment that is safe for our team and patients. Employees are required to wear Personal Protective Equipment (PPE) including face masks, gloves, gowns, and more as needed and in accordance with CDC standards.

ProSmile

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A/R Specialist