Employer Industry: Healthcare Services

Why consider this job opportunity:
- Competitive pay with bonus opportunities and annual merit increases
- Comprehensive medical, dental, and vision insurance, including virtual care
- 401(k) retirement plan with company match
- Generous paid vacation starting at 2 weeks, plus 6 paid holidays
- Supportive work environment with opportunities for career advancement
- Confidential Employee Assistance Program (EAP) for you and your family

What to Expect (Job Responsibilities):
- Follow up on claims over 30+ days to ensure prompt resolution
- Investigate denied, delayed, or underpaid claims and appeal when appropriate
- Contact insurance payers to verify claim status and resolve payment delays
- Partner with billing and payment teams to streamline claim resolutions
- Identify trends in denials and non-payments and recommend process improvements

What is Required (Qualifications):
- Prior experience in dental office revenue cycle functions
- Strong knowledge of reimbursement and compliance processes for Medicare, Medicaid, PPO, HMO, and Fee-for-Service plans
- Proficiency in dental billing software and industry tools, including Practice Management Systems
- Strong computer literacy with intermediate to advanced Excel proficiency
- Excellent oral and written communication skills for handling payer escalations and patient billing inquiries

How to Stand Out (Preferred Qualifications):
- Experience with a variety of Practice Management Systems such as CareStack, WinOMS, or Dentrix
- Familiarity with insurance portals and clearinghouses like Navinet and Availity
- Proven ability to identify claim discrepancies and recommend improvements
- Strong organizational skills to work effectively both independently and within a team
- Demonstrated attention to detail and accuracy in financial transactions

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