Accounts Receivable Specialist

Rockclifforalsurgery; Charlotte (NC); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

401k with match

Eight paid holidays

Four weeks of vacation in first year

Job summary

Flagship Practices is seeking an Accounts Receivable Specialist to join our busy dental/medical billing team. The role focuses on processing and resolving insurance claims, coordinating with patients and providers, and ensuring timely payments.

You will support revenue cycle efforts and maintain HIPAA privacy. The position requires a detail-oriented professional who communicates effectively with coworkers, insurers, and patients, and contributes to process improvements within a fast-paced

Qualifications

• High school diploma or GED required.
• Bachelor’s degree in Accounting or related field preferred.
• 2–3 years Medical and/or Dental Office experience preferred.

Responsibilities

• Resolves claims submitted to Insurance Companies and processes payments.
• Drafts appeals and submits information needed for payment processing.
• Tracks payment and denial trends and reports to the Revenue Cycle team.
• Documents claim resolution activities in the practice management system.
• Communicates effectively with insurance companies, practices, providers, and patients.
• Adheres to HIPAA privacy and security policies in daily duties.

Skills

Attention to detail

Communication

HIPAA compliance

Education

High school diploma/GED

Bachelor's degree in Accounting or related field

Job description

Become a valued team member for a dynamic, growing, fast-paced oral surgery practice where you are encouraged to learn and grow! Our world-class team includes highly skilled oral and maxillofacial surgeons dedicated to providing outstanding care and service to all of our patients. We offer exceptional benefits, 401k (with match), eight paid holidays, and you accrue up to four weeks of vacation in your first year alone!

Pay ranges noted are autogenerated by Indeed (or other career sites) are not Flagship’s evaluation of pay which is a consideration of job experience, certifications, etc.

The Accounts Receivable Specialist plays a vital role in our organization as a liaison between Insurance Companies, Patients and our Practices. The Accounts Receivable Specialist supports the Flagship Practices by processing and resolving claims that have been submitted to Insurance Companies for services provided to our Patients. As a detailed-oriented professional, the Accounts Receivable Specialists monitors, documents resolution activities, and submits information necessary to generate Insurance Payments. This includes, but is not limited to, confirming the claims are received and on file for payment processing, sending medical records for proof of medical necessity, requesting payments, and submitting appeals to overturn denials.

• Resolves claims submitted to Insurance Companies utilizing Insurance Company portals/websites as well as Insurance Company
• contact/call centers to capture the status on claims and collects payments for services provided.
• Researches denied claims to determine next steps in claim resolution.
• Drafts appeal letters and submits additional information needed for Insurance Companies to process claims for payment.
• Tracks and communicate payment and denial trends.
• Documents claim resolution activities in the practice management system, detailing the movement towards resolution.
• Ensures all claims reviewed/processed are in correct account category in the practice management system.
• Reports on status of assigned accounts to Revenue Cycle Supervisor weekly/upon request.
• Completes ad hoc claim work lists assigned by Revenue Cycle Leadership
• Communicates effectively with co-workers, insurance companies, Practices, Providers, and Patients.
• Maintains and promotes professional competence through continuing education and other learning experiences.
• Adheres to HIPAA Privacy and Security policies and procedures while performing job duties and responsibilities.
• Actively participates in Revenue Cycle Team meetings, voicing successes, barriers, and process improvement opportunities.
• Performs other duties as assigned.

Minimum Qualifications

• High school diploma/GED

Preferred Qualifications

• Bachelor's degree in Accounting or related field
• 2-3 years Medical and/or Dental Office experience