Accounts Receivable Specialist

D4C Dental Brands is seeking an AR Specialist to Join our Team

This is an Remote Position.

• Review and work aging and outstanding claim reports with accuracy and efficiency
• Verify the status of insurance claims and proactively follow up on discrepancies or delays
• Maintain detailed, accurate, and up-to-date documentation within the billing system
• Prepare, submit, and manage insurance appeals as needed
• Audit patient ledgers to ensure accuracy and identify discrepancies
• Initiate and manage insurance recoupments
• Submit and process secondary insurance claims
• Investigate and resolve claim denials, rejections, underpayments, and overpayments
• Submit corrected claims and complete necessary claim adjustments
• Analyze denial patterns and report trends to leadership for process improvement
• Ensure all claims are thoroughly worked to maximize reimbursement
• Coordinate with insurance carriers to resolve complex claim issues
• Collaborate with dental staff and cross-functional departments to ensure accurate billing and resolve discrepancies

Knowledge, Skills and Abilities:

• Strong knowledge of dental insurance billing and accounts receivable processes
• Knowledge of EOBs and ERAs, including insurance payments, adjustments, write-offs, deductibles, and patient responsibility
• Understanding of CDT codes, dental procedures, and insurance terminology
• Knowledge of claim submission, rejection, denial, correction, resubmission, and appeals
• Understanding of PPO fee schedules, contractual adjustments, downgrades, frequency limitations, missing-tooth clauses, coordination of benefits, and timely filing requirements
• Knowledge of AR aging, including 30-, 60-, 90-, and 120+ day outstanding balances
• Familiarity with dental practice-management systems along with payer portals and clearinghouses.

Working Conditions/Physical Demands:
Remote

We take care of our valued employees by offering:

• Paid Time Off
• Paid Holidays
• Medical, Dental and Vision benefits
• Health Savings Account, Flex Spending
• 401K
• Short and Long Term Disability Insurance
• Life Insurance
• Opportunities for Community Service