Financial Operations Expert

2 days ago

Angeles City, Central Luzon, Philippines beBeeRevenue Full time $16,000 - $20,320

RCM Specialist

Job Type: Full-time, Remote

Industry: Dental / Healthcare Revenue Cycle Management

Overview

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

Responsibilities

Credentialing

  • Complete and process provider applications in an accurate and timely manner.
  • Maintain the integrity of provider data in our database.
  • Communicate effectively with the team throughout the credentialing process.
  • Proactively follow up on application statuses and missing information.

Billing and AR

  • 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.
Requirements

To succeed in this role, you will need:

  • 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.
Physical Demands & Work Environment
  • May be required to sit or stand for long periods.
  • May be required to work more than 40 hours/week.
  • May be in a studio environment which can be noisy/distracting.
  • Requires clear communication with others to exchange information.
  • May involve repetitive motions (wrists, hands, fingers).
Seniority level
  • Entry level
Employment type
  • Full-time
Job function
  • Accounting/Auditing and Finance
Industries
  • Staffing and Recruiting

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