Dental Revenue Cycle Specialist

High End Hiring; New York (NY); On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Full medical benefits

401k

PTO

Job summary

High End Hiring is seeking an experienced Revenue Cycle Specialist for our dental practice to own all insurance-related functions, ensuring accurate and prompt claim submission, accurate posting of payments, and aggressive follow-up on outstanding items. The role requires a proactive problem-solver who can minimize revenue leakage and drive cash flow.

The ideal candidate will be the go-to insurance expert, review denials, coordinate with carriers, and maintain precise patient ledgers while

Qualifications

• Experience in dental revenue cycle management or healthcare billing.
• Strong understanding of insurance basics: PPO, CPT/ICD coding, EOBs.

Responsibilities

• Billing & Claims Management: submit clean claims with proper documentation and monitor status.
• Insurance Accounts Receivable: follow up on aging reports and outstanding balances.
• Payment Posting & Reconciliation: post payments and reconcile accounts.
• Patient Ledger Management: maintain accurate patient ledgers and resolve discrepancies.
• Credentialing & Insurance Administration: manage provider credentialing with carriers.

Job description

Revenue Cycle Specialist – Dental

We are seeking an experienced and highly knowledgeable Revenue Cycle Specialist to take ownership of insurance-related functions across our dental practice.

This individual will be our go-to expert for all things insurance and will be responsible for ensuring claims are submitted accurately and promptly, payments are properly posted, outstanding claims are aggressively followed up on, patient ledgers remain accurate, and insurance revenue is collected efficiently.

The ideal candidate has an exceptional understanding of dental insurance and revenue cycle management and is someone who doesn't simply process claims—they identify problems, investigate discrepancies, follow through to resolution, and make sure revenue does not fall through the cracks.

Key Responsibilities

Billing & Claims Management

• Review and batch procedures for accurate and timely insurance billing.
• Submit clean claims with appropriate documentation, narratives, attachments, and supporting information.
• Verify coding and claim information prior to submission.
• Monitor claim status and follow up consistently on unpaid, delayed, rejected, or denied claims.
• Research denials and take appropriate action to correct and resubmit claims.
• File appeals and provide additional documentation when necessary.
• Identify recurring claim issues and implement solutions to prevent future delays or denials.
• Maintain an organized system for tracking outstanding insurance claims.

Insurance Accounts Receivable

• Actively manage insurance A/R and work aging reports.
• Follow up with carriers on outstanding balances.
• Identify claims that require immediate attention and prioritize collection efforts.
• Research underpayments, incorrect payments, denials, and other discrepancies.
• Ensure insurance balances are resolved appropriately and in a timely manner.
• Identify trends affecting collections and communicate concerns to management.

Payment Posting & Reconciliation

• Accurately post insurance payments, adjustments, and write-offs.
• Review EOBs and electronic remittance information for accuracy.
• Ensure payments are allocated to the appropriate procedures and patient accounts.
• Research discrepancies between expected and actual insurance payments.
• Identify incorrect adjustments or contractual write-offs.
• Reconcile insurance payments and ensure accounts are properly balanced.

Patient Ledger Management

• Review and maintain accurate patient account ledgers.
• Identify incorrect balances, unapplied payments, credits, adjustments, or insurance allocations.
• Research and correct ledger discrepancies.
• Coordinate insurance and patient balances to ensure patients are billed appropriately.
• Assist with complex account questions and insurance-related patient inquiries.

Credentialing & Insurance Administration

• Manage provider credentialing and recredentialing with insurance carriers.
• Maintain accurate records of provider participation and credentialing status.
• Track credentialing applications and follow up with carriers until completion.
• Maintain current provider and practice information with insurance companies.
• Assist with adding or removing providers and locations from insurance plans as necessary.
• Handle insurance-related administrative projects and carrier communications.

Insurance Expertise

This position requires someone who can serve as an internal insurance resource for the practice.

The Revenue Cycle Specialist should have a strong understanding of:

• Dental insurance benefits and terminology
• PPO plans and fee schedules
• In-network and out-of-network benefits
• Deductibles, maximums, co-insurance, and frequency limitations
• Coordination of benefits
• Claim submission requirements
• EOBs and electronic remittances
• Claim denials and appeals
• Insurance aging and accounts receivable
• Contractual adjustments and write-offs
• Provider credentialing and recredentialing
• Dental coding and insurance documentation requirements

Additional Responsibilities

• Work closely with doctors, treatment coordinators, front-office teams, and management to resolve insurance and account issues.
• Assist staff with complex insurance questions.
• Monitor revenue-cycle performance and identify areas requiring improvement.
• Develop and maintain effective insurance processes and controls.
• Recommend workflow improvements that increase collections and reduce outstanding A/R.
• Assist with audits, account clean-up projects, and other revenue-cycle initiatives.
• Maintain detailed documentation and follow-through on unresolved issues.
• Stay current on changes in insurance requirements, carrier policies, and billing practices.

• Highly experienced in dental insurance and revenue cycle management
• Detail-oriented and exceptionally organized
• Persistent and comfortable following claims through to resolution
• Analytical and skilled at identifying discrepancies
• Able to independently research and solve complicated insurance issues
• Comfortable managing a high volume of claims and accounts
• Accountable for deadlines and results
• Able to prioritize effectively in a fast-paced environment
• An excellent communicator with insurance carriers, patients, providers, and staff
• Proactive rather than reactive
• Comfortable taking complete ownership of the insurance revenue cycle

#IND2

FULL MEDICAL BENIFITS

401k

PTO