RCM Specialist I
New
P
Paradigm Oral HealthHealthcare Revenue Cycle
United States, M-F, 8-5Full-TimeEntry
Salary21 - 24 USD per hour
Apply NowOpens the employer's application page
Job Details
- Required Skills
- Microsoft ExcelData entry
Requirements
- Prior experience in dental office workflows and revenue cycle functions (scheduling, registration, insurance verification, claim submission, charging/coding).
- Knowledge of reimbursement and compliance processes for all payers.
- Experience with practice management software, insurance portals, clearing houses, and banking reconciliation tools.
- Proficient in intermediate PC skills, specifically strong Microsoft Excel and computer literacy.
- Strong data entry and 10-key by touch skills.
- Excellent math, problem-solving, and analytical skills.
- Strong interpersonal and organizational skills with attention to detail.
- Ability to work effectively in a team setting and as an individual contributor.
- Certified Professional Coder (CPC) or Certified Revenue Cycle Professional (CRCP) credentials preferred.
Responsibilities
- Verify insurance coverage and benefits for scheduled patients using payer portals or phone calls.
- Accurately enter and update insurance information in the practice management system.
- Prepare and submit electronic and paper claims according to payer-specific requirements.
- Submit and follow up on pre-determinations and pre-authorizations to prevent treatment delays.
- Review and resubmit rejected claims by identifying causes.
- Assist in sending patient statements and following up on outstanding balances.
- Document all insurance verification, submission, and interaction details.
- Monitor site-specific KPIs including collection rates, days in AR, and AR over 90 days.
View Full Description & ApplyYou'll be redirected to the employer's site
