Financial Operations Specialist

1 week ago

Barcelona, Philippines beBeeRevenueCycle Full time $15,840 - $20,160

We are seeking a detail-oriented and experienced RCM specialist to support the credentialing, billing, and accounts receivable processes. This role requires strong technical knowledge of dental billing systems, insurance processes, and claim management.

Responsibilities
  • Complete and process provider applications, maintain accuracy and completeness of provider data in the database, communicate effectively with the team throughout the credentialing process, and proactively follow up on application statuses and missing information.
  • Review all aspects of the revenue cycle process including insurance verification, claims submission, payment posting, and AR follow-up, utilize practice management software to enter data, prepare reports, and ensure accuracy, investigate and resolve denied, delayed, or underpaid claims, monitor AR aging reports and follow up on overdue accounts, analyze claim denials and communicate root causes to the team, research and gather missing information needed for claim processing, collaborate with dental providers and staff to gather necessary documentation, handle appeals for denied claims with proper documentation, track claim progress and provide proactive updates to the team, and maintain detailed records of all follow-up activities and claim outcomes.
Requirements
  • A minimum of 2 years of experience in dental billing and revenue cycle management, proficiency with dental billing software (OpenDental, Dentrix, Eaglesoft) and dental coding (CPT, ICD-10), a strong understanding of insurance billing processes and dental insurance plans, excellent written and verbal communication skills, strong technical skills and/or ability to learn quickly, strong analytical and problem-solving abilities, high attention to detail and accuracy, and the ability to prioritize tasks and work independently.
  • A positive, patient, and professional demeanor, the ability to sit or stand for long periods, work more than 40 hours/week, and maintain clear communication with others to exchange information.
Benefits
  • This full-time role offers a unique opportunity to work in the dental industry, develop your skills and expertise, and contribute to the success of our organization.
  • The ideal candidate will have a passion for revenue cycle management, excellent organizational skills, and the ability to thrive in a fast-paced environment.
Schedule
  • This role is based on a Monday to Friday schedule, with regular working hours from 8:00 AM to 5:00 PM CST.
  • The successful candidate will be required to work collaboratively with the team to ensure the smooth operation of our revenue cycle processes.

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