On-Site RCM Specialist II - AR & Billing Expert

Paradigm Oral Surgery

Lincoln (NE)

On-site

USD 30,000 - 37,000

Full time

11 days ago

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Job summary

Paradigm Oral Surgery is seeking an on-site RCM Specialist II to manage AR follow-up, postings, refunds, and account audits. You will ensure accurate payment application and maintain compliance with payer guidelines.

The role emphasizes attention to detail, analytical skills, and collaboration with billing and front-office teams to resolve issues rapidly. Prior dental RCM and CPC/CRCP credentials are preferred.

Qualifications

  • Experience in dental revenue cycle management (AR follow-up, postings, refunds).
  • Knowledge of reimbursement and payer guidelines.
  • Proficient with practice management software & MS Excel.
  • Strong attention to detail and accuracy.
  • Ability to analyze accounts and identify trends.
  • Familiar with HIPAA regulations and compliance.
  • CPC or CRCP credentials preferred.

Responsibilities

  • Perform AR follow-up to resolve unpaid or underpaid claims and denials.
  • Post all payments accurately for insurance and patients.
  • Audit accounts for submission accuracy and payment application.
  • Review and resolve credit balances; process refunds per policy.
  • Apply adjustments and write-offs per payer contracts and guidelines.
  • Maintain documentation of account activities and payer interactions.
  • Collaborate with billing and front-office teams to ensure clean claims.
  • Ensure compliance with HIPAA and internal RCM policies.

Skills

Attention to detail
Analytical thinking
Communication skills
Problem solving
Time management

Education

CPC or CRCP preferred

Tools

MS Office (Excel)
Practice management software
Insurance portals
Clearing houses
Banking reconciliation software

Job description

Paradigm Oral Surgery is seeking an on-site RCM Specialist II to manage AR follow-up, postings, refunds, and account audits. You will ensure accurate payment application and maintain compliance with payer guidelines.

The role emphasizes attention to detail, analytical skills, and collaboration with billing and front-office teams to resolve issues rapidly. Prior dental RCM and CPC/CRCP credentials are preferred.

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