What are the responsibilities and job description for the Revenue Cycle Claims Specialist position at D4C Dental Brands, Inc?
D4C Dental Brands is seeking a Revenue Cycle Specialist
JOB SUMMARY:
The Revenue Cycle Specialist for understanding the entire revenue cycle process from claims submission to the final payment of the claim. This includes billing, collections, and ensuring compliance with regulations. They are also responsible for creating and maintaining standard operating procedures (SOPs) for billing and collections, training staff on revenue cycle processes, and addressing payer-related issues to optimize reimbursement. The specialist will collaborate with clinical staff, insurance companies, and patients to enhance revenue capture, minimize discrepancies, and ensure smooth financial operation.
MAJOR RESPONSIBILITES AND DUTIES
Receive and audit all payer-related issues from the RCM team and validate for accuracy.
Work with Credentialing team to resolve any payer issues.
Stay current with updates that are hindering payer related issues.
Understanding all departmental processes.
Creating and maintaining Standard Operating Procedures.
Train staff in revenue cycle processes
Creating reports as directed by management
Provide support for RCM team as directed by management
QUALIFICATIONS & SKILLS
Bachelor’s degree in finance, Accounting, or a related field preferred or
5 years of experience in accounts receivable, with at least 2 years in a managerial role.
Experience in the dental industry is a plus.
Proficiency in Microsoft Excel.
Strong analytical and problem-solving skills.
Excellent communication and interpersonal skills.
Ability to make independent decisions through detailed analysis and review
Ability to maintain professionalism in difficult and stressful situations with a positive attitude
Ability to work independently while handling multiple projects and tasks concurrently and timely.
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