Accounts Receivable Specialist (Remote)

North American Dental Group; Coraopolis Heights (PA); Remote; USD 52,000 - 64,000; Full time

Job summary

North American Dental Group (NADG) seeks a Revenue Cycle Specialist to join our remote Revenue Cycle Team. You will handle claims processing, posting, denials, and payment audits while maintaining ledger integrity and patient accounts.

Ideal candidates bring 3–5 years in dental or medical revenue cycle workflows, strong Excel skills, and experience with practice management systems. This role offers a flexible remote arrangement, competitive benefits, and career growth within NADG's rapidly

Qualifications

• High School Diploma or equivalent.
• 3–5 years dental or medical experience.
• Experience with dental office workflows: scheduling, registration, insurance verification, fee schedules, claim submission, AR follow up and payment posting.
• Experience with practice management software systems, insurance portals, clearing houses, insurance guidelines, banking reconciliation software, proficient in MS Office (Excel).
• Strong math, data entry and 10-key by touch.
• Strong interpersonal and organization skills.
• Ability to work within a team setting and as an individual contributor.
• Proven attention to detail with strong analytical skills.

Responsibilities

• Processing dental claims for payment by insurance companies to ensure proper coding, billing and collections.
• Posting functions for all payors/patient accounts, including cash balancing and bank deposits reconciliation.
• Post payment corrections, transfers and NSF's.
• Research and clear unapplied accounts using established procedures.
• Follow up on denials and ensure appropriate posting and collection activity.
• Document collection activity thoroughly and determine next steps in accounts.
• Review claims affected by denials; verify adjudication and resources used.
• Submit billing functions, including re-bills and electronic submission; edit for compliance.
• Initiate appeals and ensure documentation is provided for appeal processes.
• Answer patient billing questions and provide resources as needed.

Skills

Data entry

10-key by touch

Interpersonal skills

Analytical skills

Problem solving

Excel

Education

High School Diploma

Tools

Practice management software

Insurance portals

Clearing houses

Banking reconciliation software

MS Office (Excel)

Job description

Overview

Lead with GRATITUDE. Engage with EMPATHY. CARE with COMPASSION. BE Intellectually Curious. Be part of NADG's Tribe!

NADG is the fastest growing dental services organization of scale in the United States and today consists of a network of over 240+ dental practices in 15 states and 25 regional markets, and recently have become the first Transatlantic Dental Service Group! Our entrepreneurial culture and maniacal focus on patient care serve as a great platform to become an innovative and dynamic industry leader

We are looking for a Revenue Cycle Specialist (remote) to join our Revenue Cycle Team to help us pioneer a new culture of dentistry. Join our Tribe!

Responsibilities

The Revenue Cycle Specialist is well versed and crossed trained in all areas of the revenue cycle and accustomed to working in a high-volume environment. Key Responsibilities include:

• Processing dental claims for payment by insurance companies to ensure appropriate and timely coding, billing and collections
• Performs manual and electronic posting functions for all payors/patient accounts, including cash balancing and reconciliation of bank deposits.
• Post payment corrections, payment transfers and NSF's.
• Research and clear unapplied accounts using established identification functions/process.
• Maintains knowledge of insurance rejections/denial processing and appropriately posts information for collection and follow up activity.
• Responsible for all aspects of follow up and collections, including making phone calls, accessing payer websites. Identify issues or trending and provide suggestions for resolution.
• Accurately and thoroughly documents the pertinent collection activity performed. Review the account information and necessary system applications to determine the next appropriate work activity.
• Reviews investigate and resolves claims that have been rejected or denied by insurance. Verify claims adjudication utilization appropriate resources and applications.
• Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers. Edit claims to meet and satisfy billing compliance guidelines for electronic claim submission.
• Initiates appeals and ensures all required documentation is submitted in the appeal process.
• Answers patient billing questions and act as a resource for patient billing questions.
• Ledger accuracy and account integrity
• Analyzes and correct insurance account receivable and payment posting ledger and posting errors
• Thoroughly research all payor recoupments and identify errors and/or opportunity to dispute and restore loss in revenue. Research and validate patient refunds
• Verification of insurance benefits utilizing website, fax and phone.
• Reviewing patient accounts to determine and correct any discrepancies; account audits, aging AR, unapplied adjustments, resolving credit balance, unposted payments
• Researches and follow up on all correspondence associated with assigned accounts
• Other duties and responsibilities as assigned by leadership

Qualifications

So How Can You "Fill" This Role?

• High School Diploma or equivalent
• Minimum 3-5 years Dental or Medical Experience
• Prior experience in Dental Office workflows, Revenue Cycle functions to include scheduling, registration, insurance verification, fee schedules, claim submission,charging/coding requirements, insurance AR follow up and payment posting process
• Experience with practice management software systems, insurance portals, clearing houses, insurance guidelines, banking reconciliation software, proficient in intermediate PC skills (MS Office-strong excel skills).
• Strong computer literacy, excellent Math and problem-solving skills. Data entry and 10-key by touch.
• Strong interpersonal and organization skills.
• Ability to work within a team setting and as an individual contributor.
• Proven attention to detail with strong analytical skills

Benefits Await!

We take pride in our ability to give our team members all the benefits they deserve. This is why we offer...

• A comprehensive benefits package including 401k
• Competitive paid time off for full-time and part-time team members which increases as you grow in your career with us
• Constant opportunities for career growth and continuing education
• A professional and flexible atmosphere that allows for freedom and individuality - enabling our team to always strive to do what's best for the patient

Ready to Join Our Team?

• If you are professional and organized yet outgoing, flexible, and energetic, you'll fit right in.
• Our team is full of individuals with different skills and personalities, but each is willing to go the extra mile for our patients while communicating well with our team. If this sounds relatable, then there's a spot for you at our practice. We're excited to hear from you!

Equal Opportunity Employer

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, ancestry, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status, or any other characteristic protected by law.

#NADG3