What are the responsibilities and job description for the Dental Resource Specialist position at Canyonlands Community Health Care?
Description
Basic Function:
Responsible for performing these duties on a daily, weekly, and monthly basis in accordance with Canyonlands dental standards, while under the supervision of the Dental Office Manager.
Canyonlands Healthcare is an Equal Opportunity Employer. Please contact HR at 928.645.9675 ext 2212. Applications are required and are available online at www.canyonlandschc.org/ Resumes may be attached to the application but will not be accepted in lieu of a completed application. Successful completion of a background check and drug screen are a prerequisite to employment. Applications are accepted until position is filled.
Requirements
Essential Functions:
1. Responsible for the processing and submission of all dental claims – including all documentation needed for proper claims processing.
2. Refiles and rebills claims to insurances as necessary, verifying all information on claim is correct prior to resubmission in a timely manner.
3. Rebills all denied claims after making the appropriate changes in a timely manner.
4. Marks all denials using appropriate reason code.
5. Posts all patient, insurance and third-party payor payments, adjustments and denials to the NextGen system in a timely and accurate manner.
6. Ensures that all applicable adjustments are taken in order to ensure compliance with payor contracts.
7. Responsible for all Dental Aging categories to ensure timely follow up to dental claims and patient balances.
8. Prints letters for patients and appeal letters for insurances. Places outgoing calls to patients and insurances in regard to past due balances, documenting accounts appropriately.
9. Works with the billing department to process accounts for collection following CHC policy and procedure. Transferring payments when necessary and verifying that the balance due is truly the responsibility of the patient prior to processing collection request. 10. Works with the billing department to maintain days in AR. Communicates openly and effectively any known delays in processing of claims. Responds to all internal and external correspondence in a timely manner.
11. Works with the Dental Office Manager to conduct annual audit of all SFS dental encounters.
12. Follows all established cash posting standards.
13. Responsible for processing refunds according to policy.
14. Complies with CHC Standards of Conduct, Code of Conduct and Corporate Compliance.
Salary : $20 - $28
