Revenue Cycle Specialist - Dental Biller

Overview:

Are you ready for your next career adventure? We are seeking a dynamic individual who loves to make an impact to join CHOICE Healthcare Services, where our mission is to provide everyone access to the healthcare they need. CHOICE 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.

Since 2020, we have doubled our pediatric dentistry footprint in California and recently expanded into several other states. Our future plans include continued growth, and it is an exciting time to join our team!

What we provide to you as a CHOICE teammate:

Care for your wellbeing and work-life balance
Career development
Professional and personal growth
Experienced leadership support
Fun and supportive team dynamic with events and celebrations
Excellent compensation and comprehensive benefit package

Summary: The Revenue Cycle Specialist - Dental Biller 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. New hires will need to be able to work in the Gilbert Administrative Office for their first 30-60 days and then there will be the option to transition to a hybrid schedule (working from home 2 days a week).

Responsibilities:

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
Qualifications:

Education/Experience:

High school diploma or equivalent
Medical Billing & Coding Certificate, preferred
Minimum of 2 years of experience working in medical collections and accounts receivables
Experience working in a dental or orthodontics billing practice or similar environment
Experience working with EOBs and healthcare accounts receivables
Bilingual in Spanish, preferred