Insurance Accounts Receivable and Posting Specialist – Dental Billing

🕒 Junho 10

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $43.100 - $58.200 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🔒 Seguros

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Sun Life

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1865

💸 Finanças

Finance • Insurance • Wealth Management

A Sun Life é uma empresa global de serviços financeiros com sede em Toronto, Canadá, oferecendo uma gama diversificada de soluções de proteção, riqueza e saúde para indivíduos, empresas e instituições. A empresa oferece serviços de seguros, investimentos, aconselhamento financeiro e gestão de ativos em diversas regiões, incluindo América do Norte, Ásia e Europa. A Sun Life está comprometida com a sustentabilidade, a diversidade e a inclusão, além de criar um impacto positivo nas comunidades. Com foco em alcançar segurança financeira e vidas mais saudáveis para seus clientes, a Sun Life integra soluções financeiras abrangentes e práticas inovadoras para atender às necessidades em evolução de sua clientela.

Descrição

• Review and follow up on outstanding claims to ensure timely reimbursement • Contact insurance companies, payers, and patients to resolve any discrepancies, denials, or underpayments • Investigate claim denials, determine reasons for non-payment, and follow up with the payer to resolve and appeal when necessary • Oversee billing activities, ensuring accurate and timely submission of claims to payers, and address any billing discrepancies • Identify, investigate, and resolve claim rejections promptly to ensure the timely processing of payments • Provide support and respond to internal and external inquiries regarding billing issues, claim statuses, and account discrepancies • Manage follow-up on outstanding accounts receivable, ensuring timely resolution of overdue claims and facilitating effective communication with payers • Accurately post payments and adjustments to patient accounts and insurance claims • Identify and resolve credit balances on accounts, ensuring they are handled promptly and according to company policy • Assist in identifying and implementing process improvements to streamline the AR and billing functions • Work closely with other members of the RCM team to ensure timely and effective resolution of claims, share knowledge on payer issues, and improve overall processes

🎯 Requisitos

• High school diploma or equivalent • Minimum of 3 years of experience in accounts receivable, dental billing, or a related field is required • Experience in a dental or healthcare environment, ideally within a Dental Service Organization (DSO) or similar multi-location setting • Strong knowledge of insurance billing, payment procedures, and AR processes • Knowledge of payer guidelines and claims appeals processes • Familiarity with dental practice management systems, such as Dentrix or similar PMS platforms • Ability to navigate payer portals, insurance company websites, and databases • Excellent communication and negotiation skills to resolve issues with insurance payers • Strong attention to detail and organizational skills

🏖️ Benefícios

• Generous vacation and sick time • Market-leading paid family, parental and adoption leave • Medical coverage • Company paid life and AD&D insurance • Disability programs • Partially paid sabbatical program • 401(k) employer match • Stock purchase options • Employer-funded retirement account • Flexible, inclusive and collaborative work environment