Revenue Cycle Specialist at Kids Care Dental Rancho Cordova, CA 95670
Are you looking for an ambitious new role, where you can test and grow your skills?We're looking for a unique candidate whose passion is making things happen! The ideal candidate is energetic, fast-learning, and has strong problem-solving skills.
You effectively utilize the resources provided by support departments and ensure each practice achieves their goals by working aging insurance claims and balances, but also working with the front office teams for success.
Kids Care Dental manages multiple state-of-the-art dental and specialty practices in Northern California, with continued growth plans throughout the state.
We take pride in delivering a positive patient experience whereby our customer satisfaction scores have always exceeded 9.
5 out of 10 across all dimensions.
We have general dentists and specialists onsite in all locations.
We are looking for an experienced individual to join our Revenue Cycle Management team of business professionals.
We pride ourselves in creating a fun professional environment, while providing the best patient care experience!The RoleThe primary role of a Revenue Cycle Specialist is to ensure that insurance carriers have received claims in a timely manner, takes actions necessary to resolve all claims and assists in improving overall collections processes, while maintaining high levels of customer service for all our patients' accounts.
Adheres to HIPAA guidelines and other regulations Initial billing of claims, after services are rendered, and completion of all pre-billing edits prior to claims being sent out to carrier(s) Monitor daily rejection report and resubmit corrected claims as needed Verify all claims are on file and being processed within 21 days of billed date Manage aging insurance claims, including but not limited to:
appealing claims for a favorable resolution, writing narratives, creating x-ray attachments, accessing payer websites, and working with the front office staff, and third party entities, to resolve outstanding insurance issues Help manage the insurance verification processes with corresponding teams Friendly and speedy responses to patient inquiries from our front office and correspondence teams Implement patient collection processes and improve our collection protocols within agreed upon deadlines; initiate contact to patients to obtain additional information as needed Audit account balances/credits:
verify payments and fee schedules applied to services rendered along with any necessary adjustment(s) Respond timely to emails and telephone messages as appropriate.
Communicate issues to management, including payer, system or escalated account issues Identify issues or trending to provide suggestions for resolution Accurately and thoroughly document the pertinent activities performed Assist Supervisor on special projects and/or assignmentsSkills Required:
Experience working in a dental billing practice or similar environment Knowledge of medical and dental terminology and procedures Demonstrates a strong attention to detail Excellent verbal and written communication and listening skills are a must Ability to work independently and with a team Self-motivated and results-oriented Knowledge of dental insurance requiredSkills Desired:
Familiarity with dental insurance websites Excel experience Medical Billing and/or Coding experienceIt is important that the Revenue Cycle Specialist embody the core values of the company:
1.
Putting Patient & Doctors experience first2.
Demonstrating ownership for results3.
Fostering compassion, optimism, & celebration4.
Practicing fanatical attention to consistency and detail5.
Being committed to continuous improvement6.
Contributing to it being a great place to work
Experience:
Dental:
2 year (Required) Dentrix:
1 year (Required) Medical Billing Experience (preferred)Physical Activity Requirements:
(Constant 67-100% of workday, Frequent 34-66% of workday, Occasional 33% or less of work day) CONSTANT o Sitting FREQUENT o Talking or listening/hearing o Fingering - typing on adding machine or calculator OCCASSIONAL o Standing and Walking PHYSICAL DEMAND REQUIREMENTS:
o Sedentary Work:
Sedentary work involves sitting most of the time.
May exert up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects.
o Visual Acuity Requirements:
Work involves use of computer, extensive reading, preparing, and analyzing medical and payer information.
o Intellectual/Emotional Requirements:
The ability to maintain a high standard of courtesy and cooperation in dealing with client, coworkers, and visitors.
Satisfactory job performance despite working remotely from home or in office.
Adaptability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure.
WORKING CONDITIONS:
The employee is not substantially exposed to adverse environmental conditions.
The above is intended to describe the general content of and requirement for this job.
It is not intended to be a complete statement of duties, responsibilities or requirements.
Compensation DOE.
Benefits:
Health insurance Retirement plan Paid time off Flexible schedule.
Estimated Salary: $20 to $28 per hour based on qualifications.
You effectively utilize the resources provided by support departments and ensure each practice achieves their goals by working aging insurance claims and balances, but also working with the front office teams for success.
Kids Care Dental manages multiple state-of-the-art dental and specialty practices in Northern California, with continued growth plans throughout the state.
We take pride in delivering a positive patient experience whereby our customer satisfaction scores have always exceeded 9.
5 out of 10 across all dimensions.
We have general dentists and specialists onsite in all locations.
We are looking for an experienced individual to join our Revenue Cycle Management team of business professionals.
We pride ourselves in creating a fun professional environment, while providing the best patient care experience!The RoleThe primary role of a Revenue Cycle Specialist is to ensure that insurance carriers have received claims in a timely manner, takes actions necessary to resolve all claims and assists in improving overall collections processes, while maintaining high levels of customer service for all our patients' accounts.
Adheres to HIPAA guidelines and other regulations Initial billing of claims, after services are rendered, and completion of all pre-billing edits prior to claims being sent out to carrier(s) Monitor daily rejection report and resubmit corrected claims as needed Verify all claims are on file and being processed within 21 days of billed date Manage aging insurance claims, including but not limited to:
appealing claims for a favorable resolution, writing narratives, creating x-ray attachments, accessing payer websites, and working with the front office staff, and third party entities, to resolve outstanding insurance issues Help manage the insurance verification processes with corresponding teams Friendly and speedy responses to patient inquiries from our front office and correspondence teams Implement patient collection processes and improve our collection protocols within agreed upon deadlines; initiate contact to patients to obtain additional information as needed Audit account balances/credits:
verify payments and fee schedules applied to services rendered along with any necessary adjustment(s) Respond timely to emails and telephone messages as appropriate.
Communicate issues to management, including payer, system or escalated account issues Identify issues or trending to provide suggestions for resolution Accurately and thoroughly document the pertinent activities performed Assist Supervisor on special projects and/or assignmentsSkills Required:
Experience working in a dental billing practice or similar environment Knowledge of medical and dental terminology and procedures Demonstrates a strong attention to detail Excellent verbal and written communication and listening skills are a must Ability to work independently and with a team Self-motivated and results-oriented Knowledge of dental insurance requiredSkills Desired:
Familiarity with dental insurance websites Excel experience Medical Billing and/or Coding experienceIt is important that the Revenue Cycle Specialist embody the core values of the company:
1.
Putting Patient & Doctors experience first2.
Demonstrating ownership for results3.
Fostering compassion, optimism, & celebration4.
Practicing fanatical attention to consistency and detail5.
Being committed to continuous improvement6.
Contributing to it being a great place to work
Experience:
Dental:
2 year (Required) Dentrix:
1 year (Required) Medical Billing Experience (preferred)Physical Activity Requirements:
(Constant 67-100% of workday, Frequent 34-66% of workday, Occasional 33% or less of work day) CONSTANT o Sitting FREQUENT o Talking or listening/hearing o Fingering - typing on adding machine or calculator OCCASSIONAL o Standing and Walking PHYSICAL DEMAND REQUIREMENTS:
o Sedentary Work:
Sedentary work involves sitting most of the time.
May exert up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects.
o Visual Acuity Requirements:
Work involves use of computer, extensive reading, preparing, and analyzing medical and payer information.
o Intellectual/Emotional Requirements:
The ability to maintain a high standard of courtesy and cooperation in dealing with client, coworkers, and visitors.
Satisfactory job performance despite working remotely from home or in office.
Adaptability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure.
WORKING CONDITIONS:
The employee is not substantially exposed to adverse environmental conditions.
The above is intended to describe the general content of and requirement for this job.
It is not intended to be a complete statement of duties, responsibilities or requirements.
Compensation DOE.
Benefits:
Health insurance Retirement plan Paid time off Flexible schedule.
Estimated Salary: $20 to $28 per hour based on qualifications.
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