Dental Revenue Cycle Specialist

7 days ago

Dasmariñas, Calabarzon, Philippines beBeeCredentialing Full time ₱1,560,000 - ₱1,612,000
Revenue Cycle Operations Manager

The ideal candidate will have a strong understanding of dental billing systems, insurance processes, and claim management.

Key Responsibilities:
  • Credentialing:
    • Complete and process provider applications.
    • Maintain accuracy and completeness of provider data in the database.
    • Communicate effectively with the team throughout the credentialing process.
    • Proactively follow up on application statuses and missing information.
  • Billing and AR Management:
    • 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.
    • Maintain detailed records of all follow-up activities and claim outcomes.

The successful candidate will work closely with the team to ensure smooth revenue cycle operations and a high standard of accuracy, compliance, and patient satisfaction.

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