Overview
The Revenue Cycle Specialist plays a key role in ensuring accurate, timely, and efficient financial operations across 3–7 dental practices. This position is responsible for managing the full claims lifecycle, including preparing and submitting insurance claims, posting insurance and patient payments, and performing comprehensive accounts receivable (A/R) follow-up to resolve outstanding balances. The ideal candidate is detail-oriented, proactive, and experienced in dental billing processes, with the ability to work independently while supporting multiple practice locations. This role directly contributes to the financial health of the organization by maintaining clean claims, reducing aging A/R, and ensuring consistent reimbursement.
Responsibilities
- Prepare, review, and submit insurance claims (electronic and paper) for multiple dental practices, ensuring accuracy and compliance with payer requirements.
- Post insurance and patient payments daily, including EFTs, ERAs, paper EOBs, and patient payments collected at the practice.
- Perform comprehensive A/R follow-up, including contacting insurance carriers, researching unpaid claims, and resolving denials or discrepancies.
- Monitor and manage aging reports to reduce outstanding balances and maintain healthy revenue cycles across all assigned practices.
- Verify insurance coverage and benefits when needed to support accurate claims processing.
- Identify and correct billing errors, missing information, or coding issues prior to claim submission.
- Communicate with practice teams regarding missing documentation, claim clarifications, or patient account questions.
- Process adjustments, refunds, and write-offs in accordance with company policies.
- Maintain detailed documentation of all claim activity, follow-up actions, and payer communications.
- Stay current on payer policies, dental coding updates, and industry best practices to ensure compliance and maximize reimbursement.
Requirements
- Minimum 2 years of experience in dental claims, billing, or revenue cycle management.
- At least 1 year of experience in specialty dental claims and billing (Periodontics, Endodontics, and Oral Surgery).
- High School Diploma or GED.
Preferred Skills
- Proficiency with Microsoft Windows and Office applications (Outlook, Word, Excel).
- Excellent written and verbal communication skills.
Compensation & Benefits
- Hourly pay range: $28 to $30.
- Compensation practices comply with all applicable federal, state, and local laws regarding pay equity and non-discrimination.
- Commitment to fair and equitable pay based on role, experience, performance, and contributions.
Location
This role supports multiple dental practice locations; specific locations will be provided during the hiring process.