- Reviewing and correcting all clearinghouse edits for demographic, coding, or other errors.
- Working rejections from carriers to resubmit claims for payment.
- Adding clinical attachments via the clearinghouse to send to carrier for payment.
- Effectively navigate and utilize various dental practice management systems to find any information needed to submit the claim.
- Updating basic information on patient accounts across multiple dental practice management systems.
- Calling payers and utilizing carrier portals for eligibility and other insurance information.
- Communicating to offices, via a ticketing system, issues or errors that need corrections or more information.
- Relaying patterns of errors causing increased clearinghouse work to RCM management to discuss with clinics.
- Communicate with proper departments for any issues prohibiting proper and timely submission of claims.
- 2 years of revenue cycle experience
- Computer skills including Microsoft Excel and Word, Google Suite
- Knowledge of the revenue cycle and how billing and coding effect revenue
- Proficient with Microsoft Word and Excel
- Comfort and flexibility working in a fast-paced health environment.
- Proven track record of customer service skills
- Candidate must be able to travel as required for business needs.
- Candidate must be able to lift up to 25 lbs as needed.
- Candidate must be able to sit or stand for extended periods of time.
- BCBS High Deductible & PPO Medical insurance Options
- VSP Vision Coverage
- Principal PPO Dental Insurance
- Complimentary Life Insurance Policy
- Short-term & Long-Term Disability
- Pet Insurance Coverage
- 401(k) plan
- HSA / FSA Account Access
- Identity Theft Protection
- Legal Services Package
- Hospital/Accident/Critical Care Coverage
- Paid Time Off
- Diverse and Inclusive Work Environment
Billing Specialist - Houston, United States - Specialty1 Partners
Description
Department is Revenue Cycle Management
Reports to Revenue Cycle Manager
FLSA Status is Non-Exempt
Objective and Purpose:
The Billing Specialist is responsible for correct and timely submission of claims from the PMS to the clearinghouse to be sent to the various payers. This includes daily tasks such as identifying any errors the clearinghouse has flagged as needing additional items/information prior to submitting to the payer. Additionally, the role involves resolving submission errors, utilizing dental provider software systems, and collaborating with other departments to address issues hindering proper claim submission.
Primary Responsibilities:
Requirements:
Work Conditions:
About Us:
Specialty1 Partners is a practice services organization committed to providing non-clinical, business support services to the nation's leading specialty dental practices. The company was founded in 2019 by four endodontists who wanted to provide unique and differentiated support to specialty dental practices. Originally focusing on support to endodontics practices (under the Endo1 brand), Specialty1 Partners quickly expanded its support to periodontics and oral surgery practices.
Since its founding, Specialty1 Partners has grown rapidly to become one of the largest private owners of specialty dental practices in the US. Headquartered in Houston, TX, Specialty1 Partners is led by its founders and a management team that is focused on ongoing growth and delivery of best-in-class services across its network of practices. Specialty1 Partners currently has over 222 locations across 28 states.
Benefits:
We believe in transparency through the talent acquisition process; we support our team members, past, future, and present, to make the best decision for themselves and their families. Starting off on the right foot with pay transparency is just one way that we are supporting this mission.
Position Pay Range
$60,000—$70,000 USD
Specialty1 Partners is the direct employer of non-clinical employees only. For clinical employees, the applicable practice entity listed above in the job posting is the employer. Specialty1 Partners generates job postings and offer letters to assist with human resources and payroll support provided to the applicable practice. Clinical employees include dental assistants and staff assisting with actual direct treatment of patients. Non-clinical employees include the office manager, front desk staff, marketing staff, and any other staff providing administrative duties.
Specialty1 Partners and its affiliates are equal-opportunity employers that recognize the value of a diverse workforce. All suitably qualified applicants will receive consideration for employment based on objective criteria and without regard to the following (which is a non-exhaustive list): race, color, age, religion, gender, national origin, disability, sexual orientation, gender identity, protected veteran status, or other characteristics in accordance with the relevant governing laws. Specialty1 Partners' Privacy Policy and CCPA statement are available for view and download at
Specialty1 Partners and all its affiliates participate in the federal government's E-Verify program. Specialty1 further participates in the E-Verify Program on behalf of the clinical practice entities which are supported by Specialty1. E-Verify is used to confirm the employment authorization of all newly hired employees through an electronic database maintained by the Social Security Administration and Department of Homeland Security. The E-Verify process is completed in conjunction with a new hire's completion of Form I-9, Employment Eligibility Verification upon commencement of employment. E-Verify is not used as a tool to pre-screen candidates. For up-to-date information on E-Verify, go to www.e- and click on the Employees Link to learn more.