Insurance Accounts Receivable and Posting Specialist – Dental Billing

🕒 il y a 14 jours

🇺🇸 États-Unis – Télétravail

💵 $43 100 - $58 200 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

🔒 Assurance

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Sun Life

Site WebLinkedInTous les Emplois

10 000+ employés

Fondée en 1865

💸 Finance

Finance • Insurance • Wealth Management

Sun Life est une entreprise mondiale de services financiers dont le siège est situé à Toronto, Canada. Elle propose une gamme diversifiée de solutions de protection, de gestion de patrimoine et de santé pour les particuliers, les entreprises et les institutions. L'entreprise offre des services d'assurance, d'investissement, de conseil financier et de gestion d'actifs dans diverses régions, y compris en Amérique du Nord, en Asie et en Europe. Sun Life s'engage en faveur de la durabilité, de la diversité et de l'inclusion, et vise à avoir un impact positif dans les communautés. Avec un accent sur la sécurité financière et une vie plus saine pour ses clients, Sun Life intègre des solutions financières complètes et des pratiques innovantes pour répondre aux besoins évolutifs de sa clientèle.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

• 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