Accounts Receivable Specialist (Remote)

North American Dental Group; Pittsburgh (Allegheny County); Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

401k

Paid time off

Career growth

Flexible atmosphere

Job summary

North American Dental Group is seeking a Revenue Cycle Specialist (remote) to join our Revenue Cycle Team. You will manage high-volume dental claims, posting payments, and follow-up with payers to maximize reimbursements across our US network.

The ideal candidate has 3–5 years in dental or medical revenue cycle, strong Excel skills, and proven accuracy. We offer a comprehensive benefits package, career growth, and a collaborative environment that puts patient care first.

Qualifications

• 3–5 years dental or medical revenue cycle experience.
• Experience with dental office workflows, revenue cycle functions including scheduling, registration, insurance verification, fee schedules, claim submission, charging/coding, insurance AR follow up and payment posting.
• Proficient in MS Office, especially Excel.
• Strong math, problem-solving, data entry and 10-key by touch.
• Excellent interpersonal and organizational skills.
• Ability to work in a team and as an individual contributor.
• Attention to detail with strong analytical skills.

Responsibilities

• Process dental claims for payment by insurance companies with accurate coding, billing and collections.
• Post payments for payors/patients, cash balancing and reconcile deposits.
• Handle payment corrections, transfers and NSF processing.
• Research unapplied accounts and identify resolution opportunities.
• Maintain knowledge of insurance rejections/denials and post information for follow-up.
• Follow up and collections via calls and payer websites; identify issues and propose solutions.
• Document collection activity thoroughly and determine next steps in system applications.
• Review and resolve denied/rejected claims; verify adjudication and resources.
• Submit electronic and manual re-bills; ensure claims meet billing guidelines.
• Initiate appeals and submit required documentation.
• Answer patient billing questions and assist with inquiries.
• Ensure ledger accuracy and account integrity.
• Analyze and correct insurance AR, posting errors.
• Research payor recoupments and validate patient refunds.
• Verify insurance benefits via website, fax, and phone.
• Review accounts for discrepancies; perform audits and aging AR tasks.
• Handle correspondence related to assigned accounts.
• Other duties as assigned by leadership.

Skills

Revenue Cycle

Dental Billing

Insurance Verification

Excel

Data Entry

Customer Service

Education

High School Diploma or equivalent

Tools

Practice Management Software

Insurance Portals

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.

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