What are the responsibilities and job description for the Ortho AR Specialist position at Benevis?
Ortho Commercial Accounts Receivable Specialist
Benevis LLC - Atlanta, GA
Work for a company that is truly making the world a happier place, one smile at a time! At Benevis, we create over a million smiles a year in the communities we serve and believe that every person deserves access to quality, affordable dental care. This mission drives everything we do. With over 3000 employees in offices across the country from clinical to support staff - we are united in our mission to create happy, healthy smiles through providing high quality dental care in a fun, compassionate environment. Are you ready to join us in creating our next million smiles? We have JUST the opportunity for you
The Commercial Accounts Receivable Specialist assists in the follow up of all Commercial unpaid claims and open balances. This includes timely follow up on outstanding denials and assisting in identifying trends that can negatively impact revenue.
Responsibilities
• Work unpaid and denied claims
• Contact payers to research claim status
• Pull procedure reports.
• Update internal documents with claim results/status.
• Constant communication with departments within our organization (EDI, Verification, Billing, Credentialing, etc.) as well as external clients (i.e. Payers)
• Generate claims and assist in preparing and submitting appeals to payers
• Report to AR Manager any denial trends that can negatively impact revenue for the assigned region in a timely manner
Qualifications
• Must have knowledge of Microsoft Excel, Word and Outlook
• Excellent Communication Skills (written and verbal)
• Well-organized and detailed with the ability to communicate in an appropriate and timely manner.
• Ability to work well with a team
• Multi task oriented
• Revenue Cycle experience required
Education
• High School Diploma or GED. Degree preferred.
• Two or more years of experience in healthcare reimbursement related to billing, collections and claims management.
• Demonstrate working knowledge of the revenue cycle process, compliance and federal regulations.
• Demonstrate skills and experience in effectively collaborating with team members using oral, written and interpersonal communications.
• Ability to organize and prioritize multiple assignments.
• Excellent Computer Skills: Excel, Word, and Outlook.
• Experience with health insurance programs.
• Detail oriented with the ability to follow through on daily tasks.
• Two years customer service experience
We Offer:
• · Competitive compensation
• · Comprehensive Benefits Package: Medical, Dental, Vision, 401K with match, flexible spending accounts, paid time off, company holidays and much more!
• · Company paid malpractice insurance
• · Continuing education reimbursement
• · Company provided certification trainings-These certifications include CPR certificates, Radiology certificates, Nitrous Oxide certificates, etc.
• · The company will reimburse selected employees for eligible training/testing expenses required to obtain or renew the certificate
We value teamwork, mutual respect and cooperation. We do not practice unlawful discrimination, including harassment or tolerate it in our workplace. What do we mean by discrimination? We mean that we do not discriminate on the basis of race, color, creed, religion, sex, national origin, age, citizenship, disability, sexual orientation or any other characteristic protected by federal, state, or local law.
