Dental Billing & A/R Specialist - Revenue Cycle Management (RCM)
American Dental Companies
- Pay
- $20 to $28
- an hour
- Location
- Phoenix, AZ
- Work style
- On-site
- Job type
- Full time
- Posted
- Oct 6
- 11 days ago
Career path
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About the company
American Dental Companies
Medical practice · 51 to 200 employees
At American Dental Companies (ADC) , we empower premier dental practices across the nation-including Alaska, Arizona, California, Colorado, Florida, Georgia, Idaho, Maryland, Minnesota, New Mexico, Pennsylvania, Texas, Utah, Washington, and Wyoming-to deliver exceptional, patient-centered care. By providing world-class administrative, operational, and financial support, ADC allows dental teams to focus on what matters most: clinical excellence and outstanding patient experiences. Headquartered at our Central Support Center in Phoenix, our Revenue Cycle Management (RCM) team acts as the financial engine behind our rapidly expanding network of partner practices.
What you'll do
- Claim Follow-Up & Denial Management:Review Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) to identify unpaid, underpaid, or denied claims.Investigate denial reasons and submit formal appeals, reconsiderations, and corrected claims within strict payer deadlines.Monitor and respond promptly to practice and payer inquiries via Teams, email, and fax.
- Review Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) to identify unpaid, underpaid, or denied claims.
- Investigate denial reasons and submit formal appeals, reconsiderations, and corrected claims within strict payer deadlines.
- Monitor and respond promptly to practice and payer inquiries via Teams, email, and fax.
- Accounts Receivable Recovery & Optimization:Utilize aged A/R reports to track, follow up on, and resolve insurance claims outstanding over 45 days.Track and reconcile held vouchers, unbilled vouchers, and contractual adjustments.Identify and report recurring denial trends or systemic billing issues to RCM leadership.
- Utilize aged A/R reports to track, follow up on, and resolve insurance claims outstanding over 45 days.
- Track and reconcile held vouchers, unbilled vouchers, and contractual adjustments.
- Identify and report recurring denial trends or systemic billing issues to RCM leadership.
- Payer & Practice Coordination:Build and maintain productive relationships with assigned insurance carriers, provider representatives, and internal support departments.Serve as a trusted resource for practice leadership and operational staff regarding insurance claim status and reimbursement inquiries.
- Build and maintain productive relationships with assigned insurance carriers, provider representatives, and internal support departments.
- Serve as a trusted resource for practice leadership and operational staff regarding insurance claim status and reimbursement inquiries.
- Compliance & Quality Assurance:Maintain strict adherence to HIPAA guidelines, payer regulations, and company policies.Accurately document all account notes and claim follow-up activity in practice management software.
- Maintain strict adherence to HIPAA guidelines, payer regulations, and company policies.
- Accurately document all account notes and claim follow-up activity in practice management software.
- Minimum of 18 months of hands-on Dental Billing and Collections / Insurance A/R experience(REQUIRED).
- Ability to work100% on-siteat our Central Support Center in Phoenix, AZ.
- Strong, foundational knowledge of dental insurance processes, claim adjudication, CDT coding, and payer requirements.
- High School Diploma or GED equivalent.
- Proven ability to interpret EOBs, ERAs, contractual adjustments, and reimbursement discrepancies.
- Excellent written/verbal communication, problem-solving, and organizational skills.
What you need
- Minimum of 18 months of hands-on Dental Billing and Collections / Insurance A/R experience(REQUIRED).
- Ability to work100% on-siteat our Central Support Center in Phoenix, AZ.
- Strong, foundational knowledge of dental insurance processes, claim adjudication, CDT coding, and payer requirements.
- High School Diploma or GED equivalent.
- Proven ability to interpret EOBs, ERAs, contractual adjustments, and reimbursement discrepancies.
- Excellent written/verbal communication, problem-solving, and organizational skills.
- Proficiency with Denticon practice management software and DentalXChange (Highly Preferred).
- Prior experience working within a Dental Support Organization (DSO) or multi-location central support environment.
- Post-secondary education, trade school training, or dental billing certifications.
- Education: a high school diploma or a professional certificate
Key skills
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Perks
- Health
- Dental
- Vision
- Life Insurance
- Paid Time Off (PTO)
- Paid Holidays
- 401(k) Retirement Plan
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