Job Description
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.
Role Description
- This position is responsible for processing dental claims, managing accounts receivable, posting payments, and ensuring the accuracy of financial transactions.
- Serve as a contact for contracted facility personnel by communicating regularly with facility contact, territory marketers, and local operations and management.
- Must be familiar with the IME refund process.
- Educate Business Office Managers on how to effectively manage and process IME claims through the TX HHSC program.
- Check eligibility and benefit verification.
- Review patient bills for accuracy and completeness and obtain any missing information.
- Prepare, review, and transmit claims using billing software.
- Follow up on unpaid claims within standard billing cycle time frame following prescribed methods.
- Keep the facilities updated on any process changes along with re-education.
- A commitment to excellent customer service.
- Actively supports and complies with all components of the compliance program, including, but not limited to, completion of training and reporting of suspected violations of law and Company policy.
- Maintains confidentiality of all information; abides with HIPAA and PHI guidelines at all times.
- To work remotely, it is expected you will have a reliable, nonpublic high-speed internet connection with sufficient bandwidth to participate in all work-related activities.
- Reacts positively to change and performs other duties as assigned.
- Qualifications
- Associate’s degree preferred, or equivalent experience.
- Minimum of 2 years’ account management or Business Office Management experience required.
- Experience with dental billing software.
- Front or back office medical/dental experience.
- Proficiency with Microsoft Office required.
- Critical thinking/Solutions-based skills required for a time sensitive environment.
- Strong and effective communication and interpersonal skills, including proven ability to build relationships, speak publicly and communicate persuasively.
- Strong time management skills and ability to multi-task.
- Ability to lead colleagues, manage multiple priorities and achieve results.
- Exceptional organizational, analytical, and problem-solving skills.
- Must be self-directed and able to meet deadlines.
- Ability to work independently and with other team members.
- Excellent interpersonal, oral, and written communication skills.
- Must be detail oriented and self-motivated.
- Excellent customer service skills.
- Anticipate needs in a proactive manner to increase satisfaction.
- Take ownership of job responsibilities by initiating prompt and appropriate follow up and/or action to problems.
- Requirements
- We will only employ those who are legally authorized to work in the United States.
- Any offer of employment is conditional upon the successful completion of a background investigation and drug screen.
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