Dental Revenue Cycle Specialist-Oral Surgery (Hybrid)
Elevate Dental Partners
Colorado Springs, CO US
Posted ago
Elevate Dental Partners

Elevate Dental Partners is searching for a Revenue Cycle Specialist to join our team. The ideal candidate will focus on commitment to quality, as well as adhere to the company’s service-based ethos for team members through the management of Elevate Dental Partners’ revenue cycle operations. You will have experience in all aspects of revenue cycle operations and thrive in a fast-paced environment. This role will be responsible for successfully performing oral surgery billing processes for multiple oral surgery dental practices.  

Responsibilities

GENERAL DUTIES/RESPONSIBILITIES:


  • Auditing and editing route slips, and day sheets, for accuracy of procedures charged out
  • Submitting batched claims daily, adding necessary x-rays, narratives, and attachments using PMS software and clearinghouse
  • Following up on any rejected claims, correcting and sending out daily
  • Running “unsubmitted claims” report daily and working to submit all unsubmitted claims
  • Dental/Medical cross-coding on specific oral surgery procedures
  • Medical claim form submissions, using ICD 10 and CPT coding
  • Obtaining Medicaid prior authorizations, Medicaid claim submissions, and follow-ups. Working any received denials by obtaining the requested information, notating accounts, and sending it back to carriers for processing and payment daily
  • Follow up with insurance account receivables, perform the necessary action to get the claim processed and paid, and notate the patient's account. Maintaining a 98% or above insurance collection rate
  • Follow up with patient account receivables, sending a series of statements and collection letters, and notating the patient's account. Maintaining a 98% or above patient collection rate
  • Working with a collection agency on transmission and follow-up of accounts sent to collections
  • Payment posting. Making accurate contracted adjustments, and closing out claims on a consistent basis
  • End-of-day balancing, and reporting
  • Performs other duties as required, assigned, or requested

Qualifications

EXPERIENCE:


  • Working experience with dental oral surgery practice
  • Working knowledge in Microsoft Office Suite (Word, Outlook, Teams, Excel)
  • Extensive knowledge of dental revenue cycles
  • Extensive knowledge of dental insurance carriers such as DMO’s, PPO’s, Medicaid, and discount plans
  • Experience with multiple practice management software, digital x-rays, and clearinghouses

JOB REQUIREMENTS / COMPETENCIES:


  • Ability to work in a fast-paced environment
  • Strong attention to detail
  • Ability to adhere to strict timelines
  • Knowledge of DSO practices and their day-to-day operations
  • Working knowledge of dental procedures, terminology, CDT coding, ICD 10, and CPT coding
  • Ability to read doctor chart notes, identify teeth and surfaces on x-rays, and write professional clinical narratives for necessary treatment as it relates to claim submissions
  • Adapt to changes in workflow and ability to learn new software as necessary

Compensation
$18 - $20 hourly
About Elevate Dental Partners

Elevate Dental Partners is a DSO (Dental Service Organization) that provides partner dentists and their teams with the highest quality of life as they provide the highest quality dental care for their patients. Elevate was founded on the idea that getting support shouldn’t mean giving up control. Our partners benefit from all the support of a traditional DSO, including back-office/office infrastructure while remaining in charge of their practice.


We are a small, innovative, and engaged group of individuals who are continually pushing the organization to the forefront of the industry. With core values that focus on individualized practices, strong partnerships, best dental care and most importantly investing in the team, Elevate is looking to lead as the benchmark. By acknowledging that our team is our most valuable asset, we’ve developed a culture to provide a high-quality working environment.

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