Remote Biller - Appeals Specilaist

Rodeo Dental & Orthodontics; Irving (TX); Remote; USD 40,000 - 60,000; Full time

Job summary

Rodeo Dental & Orthodontics is looking for a Biller - Appeals to manage unpaid insurance claims. Responsibilities include researching denied claims, contacting patients for additional information, and maintaining confidentiality while ensuring timely payments. This role offers growth opportunities and comprehensive benefits, including paid time off and medical insurance.

Benefits

PTO

Company-paid Life Insurance

Medical Insurance

Dental Insurance

Vision Insurance

Short-term and Long-term Disability

401(k)

Team Member Assistance Program

Qualifications

• Knowledgeable in dental coding and Medicaid PPO claim adjudication.
• Ability to communicate courteously with internal operations, patients, and insurance companies.
• Active valid Driver’s License required for work site travel.

Responsibilities

• Identifies delinquent accounts and resubmits claims to appropriate payers.
• Processes insurance-related correspondence and ensures timely follow-up.
• Develops relationships with key personnel at dental payers for claim assistance.

Skills

Dental Coding

Dental Medicaid Claim Adjudication

Dental Benefits and Verification

Communication

Computer Applications

Job description

We are Rodeo!

Rodeo Dental & Orthodontics is one of the fastest growing, multi-specialty dental groups in the country. The company’s team of 100+ award-winning doctors provide a full range of general dentistry, orthodontics, endodontics, oral surgery, and board-certified pediatric dental services in 40+ Rodeo locations throughout the states of Texas, Colorado, and Arizona.

The Biller - Appeals is responsible for reviewing any unpaid claims from the insurance plans. The appeal specialist follows up with the insurance company after 30 days of filing. Additionally, the appeal specialist will request reconsideration for payment for any denial claims that we have supporting documentation for payment.

QUALIFICATIONS:

• Knowledgeable with Dental Coding
• Knowledgeable with Dental Medicaid and PPO claim adjudication
• Knowledgeable with Dental Benefits and Verification of Coverages
• Knowledge of legal and regulatory provisions related to collection activities.
• Skilled with computer applications and fast typing.
• Ability to communicate with internal operations, patients, and insurance companies on all collection matters in a courteous manner.
• This position may require the employee to use his/her personal vehicle to travel to different work sites during the course of the work day, which means you would need an active, valid Driver’s License.

ESSENTIAL FUNCTIONS:

• Identifies delinquent accounts, aging periods, and payment resources
• Contacting patients for additional insurance information and resubmitting dental claims to appropriate dental payer.
• Reviewing Explanation of Benefits and patient history for accurate reimbursement and discounts by contracted managed care companies.
• Research and processes all rejected claims and resubmits with corrected information.
• Assists with processing insurance & patient refunds.
• Processes insurance related correspondence and responding timely to inquiries.
• Follow up with insurance companies ensuring that claims are paid on a timely basis by monitoring aging reports and open claims reports.
• Develops relationship with key personnel at the dental payers to obtain assistance with claim reconsiderations.
• Maintains strict confidentiality
• Performs all other duties as assigned

WHAT WE OFFER:

• New Grads, start your careers with Rodeo!
• Growth and advancement opportunities in our specialty dentistry business lines, such as orthodontics and oral surgery, as well as in leadership roles
• PTO
• Company-paid Life Insurance
• Medical
• Dental
• Vision
• Short-term and Long-term Disability
• Health Saving Account
• Supplement Life Insurance for you or your dependents
• 401(k)
• Accident
• Critical Illness
• Identity Protection
• Team Member Assistance Program

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.