- RCM functions including but not limited to, insurance plan strategy, claims management, insurance payment posting, verifications, and aging reports
- Support our group of practices in California, Colorado, Wyoming, Texas, and Oklahoma in all functions RCM
- Assist our credentialing division in managing all insurance payor relationships
- Assist our credentialing division in provide strategic analysis on insurance plan utilization
- Ensure all providers are appropriately credentialed
- Manage all provider malpractice enrollment
- Track all provider licensure
- Input all fee schedules
- Provide support on local market fee analysis
- High school diploma or GED, required
- Bachelor's Degree in Business or related field, or equivalent experience, preferred
- 2+ years' experience in the dental insurance field, required
- Expert level knowledge in dental insurance
- Proactive problem solving
- Analytical approach to providing recommendations
- Strong organizational skills
- Understanding of compliance and regulatory standards pertinent to scope of activities of job
- Ability to work in a team environment required
- Excellent coaching skills
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Revenue Cycle Specialist - Englewood, United States - Espire Dental
Description
Job DetailsLevel
Entry
Job Location
Espire Dental - PSC - Greenwood Village, CO
Position Type
Full Time
Education Level
High School
Salary Range
$ $28.00 Hourly
Travel Percentage
Negligible
Job Shift
Day
Description
Summary:
The Insurance and Billing Specialist will be the in-house insurance expert on the dental revenue cycle. This role will have a heavy focus on RCM functions such as claim submission, verifications, insurance payment posting, insurance AR, and patient AR. This team member will also have opportunities to be project managers of process improvement within the RCM Cycle. Insurance Specialist will impact results by delivering the Espire mission to team members and patients by living joyfully, leading bravely, and creating greatness.
Main Responsibilities:
Level 1: A combination of sitting, standing and walking with little requirement for physical effort. There may be a requirement to exert light physical effort for short periods.
Supervisory Responsibilities:
No supervisory responsibility.
Travel Requirements:
1% - 10% travel required.
