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D4C Dental Brands is seeking an AR Specialist to Join our Team This is an Remote Position.
Key Responsibilities
Review and work aging and outstanding claim reports with accuracy and efficiency
Verify the status of insurance claims and proactively follow up on discrepancies or delays
Maintain detailed, accurate, and up-to-date documentation within the billing system
Prepare, submit, and manage insurance appeals as needed
Audit patient ledgers to ensure accuracy and identify discrepancies
Initiate and manage insurance recoupments
Submit and process secondary insurance claims
Investigate and resolve claim denials, rejections, underpayments, and overpayments
Submit corrected claims and complete necessary claim adjustments
Analyze denial patterns and report trends to leadership for process improvement
Ensure all claims are thoroughly worked to maximize reimbursement
Coordinate with insurance carriers to resolve complex claim issues
Collaborate with dental staff and cross-functional departments to ensure accurate billing and resolve discrepancies
Knowledge, Skills and Abilities:
- Strong knowledge of dental insurance billing and accounts receivable processes
- Knowledge of EOBs and ERAs, including insurance payments, adjustments, write-offs, deductibles, and patient responsibility
- Understanding of CDT codes, dental procedures, and insurance terminology
- Knowledge of claim submission, rejection, denial, correction, resubmission, and appeals
- Understanding of PPO fee schedules, contractual adjustments, downgrades, frequency limitations, missing-tooth clauses, coordination of benefits, and timely filing requirements
- Knowledge of AR aging, including 30-, 60-, 90-, and 120+ day outstanding balances
- Familiarity with dental practice-management systems along with payer portals and clearinghouses.
Working Conditions/Physical Demands: Remote We take care of our valued employees by offering:
- Paid Time Off
- Paid Holidays
- Medical, Dental and Vision benefits
- Health Savings Account, Flex Spending
- 401K
- Short and Long Term Disability Insurance
- Life Insurance
- Opportunities for Community Service
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