
Revenue Cycle Management Professional
19 hours ago
The Revenue Cycle Management Professional supports the credentialing, billing, and accounts receivable processes for our practice.
- Process provider applications with accuracy in the database.
- Communicate effectively throughout the credentialing process and follow up on application statuses and missing information proactively.
- 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, and 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 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.
Requirements include minimum 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), 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, ability to prioritize tasks and work independently, positive, patient, and professional demeanor.
Key Responsibilities:
Our ideal candidate will be responsible for the following tasks:
- Collaborating with healthcare providers to ensure accurate and timely billing submissions.
- Managing the revenue cycle process from start to finish, ensuring seamless communication and efficient workflows.
- Staying up-to-date with industry regulations, guidelines, and best practices to optimize billing and revenue operations.
What We're Looking For:
We're seeking a highly skilled and detail-oriented Revenue Cycle Management Professional who is passionate about delivering exceptional results and driving business growth. If you have a proven track record of success in revenue cycle management, we encourage you to apply
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