Dental Revenue Cycle Specialist

Summary:The Dental Revenue Cycle Specialist is responsible for ensuring accurate and timely billing of accounts, accuracy of account balances and coordinating with other billing team members to ensure billing accuracy. Majority of the time, this position will focus on denied claims.

Pay Range: $18.56-$24.00/hour (Based on experience)

This is a remote position and we are seeking candidates who reside in Pacific and Mountain time zones. 

CHOICE Healthcare Services is the largest provider of pediatric dental care in the Southwest United States, and we pride ourselves on delivering high quality care to children in our communities. Every day, thousands of people trust us to provide their families with healthy, radiant smiles.

What we provide to you as a CHOICE teammate:

• Care for your wellbeing and work-life balance
• Professional and personal growth
• Experienced leadership support
• Fun and supportive team dynamic with events and celebrations
• Comprehensive benefit package

Essential Duties and Responsibilities: include the following. Other duties may be assigned.

• Ensure daily billing and adjustments are accurate and timely
• Ability to read insurance benefits and explanation of benefits (EOB)
• Process pre-authorizations with HMO insurances & Denti-Cal
• Review outstanding claims, follow up on aging for both patient and insurance balances
• Send statements with outstanding balances to patient
• Process appeals/denials with insurances
• Assists front office staff at practices with insurance and account questions as needed
• Verify insurance eligibility and benefits for patients
• Cross trained in other aspects of the department as assigned
• Ability to work in fast paced environment
• Willingness to cover other duties as assigned

Education/Experience:

• High school diploma or equivalent
• Medical Billing & Coding Certificate, preferred
• Minimum of 1 years of experience of working medical/dental claim denials and appeals
• Experience working in a dental  billing practice or similar environment
• Experience working with EOBs and healthcare accounts receivables