Dental: Billing Specialist - Remote (NC or SC)

Little River Medical Center, Inc.; Little River (SC); Teletrabalho; USD 42 000 - 62 000; Tempo integral

Resumo da oferta

Little River Medical Center is seeking a Dental Billing Specialist for a remote position serving NC or SC residents. The role requires commuting to the Little River, SC office during the first 90 days of training as needed.

Responsibilities include reviewing eligibility, following up on claims, and posting remittances to ensure timely reimbursements. Ideal candidates have dental and medical billing experience; AAPC certification is a plus.

Qualificações

• High School Diploma or GED required.
• Dental billing experience and medical billing experience required.
• AAPC certification is a plus.
• Experience with eClinicalWorks preferred.
• Community Health Center or FQHC experience helpful.

Responsabilidades

• Review patient eligibility and insurance coverage.
• Obtain claim status by payer resources.
• Work with payers to maximize reimbursement.
• Communicate with departments and patients.
• File corrected claims with proper records.
• Write effective appeal letters.
• Post payments according to remittance advice by month end.
• Interpret financial reports and monitor denial trends.
• Balance and ledger entries with Accounting.

Conhecimentos

Billing accuracy

Communication skills

Independent work

Remote work ability

Formação académica

High School Diploma or GED

AAPC certification

FQHC certification

Ferramentas

eClinicalWorks

Descrição da oferta de emprego

Position:Dental: Billing Specialist - Remote (NC or SC)

Location: Little River, SC

Job Id:1226

# of Openings:1

Dental: Billing Specialist - Remote NC or SC

Must be willing / able to commute to the office in Little River, SC during the first 90-day training period as needed.

POSITION SUMMARY:

The Billing Specialist will be responsible for generating revenue by making payment arrangements, collecting accounts, monitoring and pursuing delinquent accounts.The Billing Specialist must have thorough knowledge and experience specifically in medical office billing. Must be a resident of NC or SC to be considered for this remote position.

This position is remote. Must reside in SC or NC. Able to commute to office when needed.

ESSENTIAL DUTIES AND RESPONSIBILITIES

include the following but not limited to:

• Review and interpret patient eligibility, insurance coverage, and benefits
• Obtain claim status by accessing payer resources
• Work with payers to bring resolution to claims as quickly as possible, obtaining the maximum reimbursement
• Communicate effectively with other departments and patients
• File corrected claims with appropriate medical records
• Compose and submit effective and grammatically correct appeal letters
• Retrieve, review, and understand remittance advice from payers
• Ability to post payments according to remittance advice posting all payments by the end of the month.
• Ability to interpret financial reports when presented with data
• Monitor the status of denial trends and report issues to supervisor
• Ability to work independently with confidence in using judgment, according to the financial procedures/policies
• Ability to work effectively both in the office and remotely
• Ability to multi- task and prioritize job duties/responsibilities
• Knowledgeable in charge entry and claim coding requirements per payer
• Knowledgeable in HEDIS Measures
• Maintains confidentiality regarding patient account status
• Knowledge of patient accounts and ability to convey information to the patient as needed
• Knowledge of basic billing/coding principles and ability to apply that knowledge in a live environment
• Maintain attention to detail in all aspects of daily work
• Work with the Accounting Department to ensure proper balancing and ledger entries

EDUCATION and/or EXPERIENCE:

• High School Diploma or Ged required
• Dental billing experience required.
• Medical billing experience.
• AAPC certification is a plus.
• Experience with eClinicalWorks preferred.
• Community Health Center or FQHC experience helpful.
• FQHC certification is a plus, but not required.

WHY LRMC:

Little River Medical Center is a non-profit community health center within Horry County. At Little River Medical Center, we strive to offer exceptional health services and deliver quality, compassionate care to everyone. We provide a wide range of affordable health and support service for every family.

LRMC offers benefits such as:

• Employer matched 403B Retirement Plan.
• Paid Vacation time, Sick time, & Holiday's. As well as paid qualifying Administrative Leave.
• Employer Paid Health Benefits: Life / AD&D Policies, Short/Long Term Disability, and a Employee Assistant Plan.