RCM Specialist

About the Job
We are seeking an experienced and detail-oriented Revenue Cycle Management (RCM) Specialist with a strong background in dental billing and coding. The ideal candidate will have a proven track record in optimizing revenue cycles, managing claims efficiently, and ensuring seamless financial operations within dental practices.

Key Responsibilities

Dental Billing and Coding Expertise
Mastery of CDT codes, ADA claim forms, and insurance billing protocols.
Efficiently submit claims to minimize denials and maximize reimbursements.
Practice Management Systems (PMS) Knowledge
Proficient in Dentrix, Eaglesoft, Open Dental, and other similar systems.
Streamline workflows for insurance claims and patient account management, enhancing overall efficiency.
Insurance Management
Verify patient insurance eligibility and benefits accurately.
Manage coordination of benefits (COB) and secondary insurance claims, ensuring proper payment distribution.
Accounts Receivable (AR) Management
Monitor and resolve aged AR claims in a timely manner.
Collaborate with insurance providers to expedite claims processing and payment.
Payment Posting
Accurately post insurance and patient payments to respective accounts.
Maintain up-to-date, reconciled account balances and ensure all transactions are properly documented.
Compliance and Reporting
Ensure adherence to HIPAA standards and dental billing regulations.
Generate and analyze reports to track financial performance, providing actionable insights for improvement.
Skills and Qualifications

Experience: Minimum of 2 years of RCM experience in U.S.-based dental practices.
Technical Proficiency: Hands-on experience with automated billing tools and Microsoft Excel.
Analytical & Problem-Solving Skills: Ability to identify, resolve, and prevent claim denials.
Communication Skills: Strong ability to communicate billing and insurance issues clearly with patients and team members.
Collaboration: Work effectively with cross-functional teams to optimize processes and improve revenue cycle performance.