Address
Form of workBDG was founded in 2002 and today is one of the largest full-service dentist groups in southern Nevada.
Each of our 14 dental practices are individually owned and operated by a licensed, general dentist to provide you with the highest quality and most affordable care. BDG oversees the marketing, management, and purchasing for all offices, which allows us to offer you the highest quality care at the lowest price.
We set ourselves apart by offering all dentistry services under one roof including: orthodontics, oral surgery, implants, mini implants, dentures, pedodontics (children), gum therapy, oral cancer screenings along with general dentistry. ** _
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JOB TITLE: ACCOUNTS RECEIVABE AND BILLING SPECIALIST
REPORTS TO: RCM Director FLSA STATUS: Non-exempt
Position Summary
This position assists with multiple functions within the Revenue Cycle including dental billing for assigned dental offices. This position will handle questions, complaints, or disputes from insurance companies, including Medicaid, HMO, PPO, etc. plans regarding insurance reimbursement and denial resolution.
Supervision
This position has no supervisory responsibility.
Duties and Responsibilities
Please circle the "E" or "R" next to each duty to indicate whether it is "E" meaning it is an Essential job function or "R" meaning that the duty could be Reassigned. This information will be used to determine which functions are essential or reassignable consistent with the Americans with Disabilities Act.
BDG Teammates will support compliance-related items by:
• Following internal procedures and external regulations.
• Bringing compliance issues to the attention of management.
• Successfully completing regulatory training requirements periodically.
• Working collaboratively in all facets of position to meet position requirements and support Company goals.
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BDG Teammates will support the Company's vision and role model the core values and behaviors by:**
• Cultivating a positive work environment.
• Being efficient with time at work.
• Communicating effectively with patients and visitors as well as BDG Management and staff.
• Being flexible.
• Maintain integrity in all conversations and actions.
• Consistently reports to work on time prepared to perform duties of position.
Revenue Cycle Management
- Collaborates with internal RCM teams and operations to translate requirements into technical solution/s. Function includes but not limited to initial claims, eligibility & verification, claim tracing, denials management, and insurance payment posting.
- Assists in educating and training of functional, non-functional, and cross-functional requirements for processes and tools within personal scope of knowledge and expertise.
- Assists RCM team efforts on an as needed basis within personal scope of knowledge and expertise. Function includes but not limited to initial claims, eligibility & verification, claim tracing, denials management, and insurance payment posting.
- Assists in identifying opportunities for automation and interdependency across RCM LOB's.
- Assists in identifying and implementing protocols for end to end delivery across RCM LOB's.
- Dental Billing Related Tasks
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Miscellaneous_
- Assists and collaborates with insurance plan and network participation including insurance's allowable fees.
- Receives and communicates new/revised information/changes regarding insurances/billing to appropriate teams to aid in healthy collections.
- Assists with analyzing BDG insurances and provides recommendations that result in increased claim reimbursement.
- Participates in meetings.
- Always Conform with all safety rules and use all appropriate safety equipment.
- Performs all other related duties, as assigned. May be requested to assist with special projects from time to time.
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Minimum Qualifications (Industry, Work Experience and/or Education)
High School Diploma or GED required. Associates Degree or higher desired. Minimum of three years of insurance claims experience required, preferably in the dental industry experienced.
Computer Skills (If Applicable)
Microsoft Windows environment with Office Suite to include formatting and production of letters, forms and memos. Proficient in Microsoft Word and Excel. Experience in using dental practice management software preferred. Proficiency in online ordering platforms.
License, Registration, or Certifications
None required
Success Factors - Personal characteristics that contribute to an individual's ability to excel on the job (not a guarantee).
- Possesses the ability to work in a constantly changing environment, good judgment skills, and capable of making decisions with attention to detail.
- Must have excellent organizational skills and ability to prioritize and coordinate workload with high degree of proficiency and accuracy.
- Must have excellent analytical and problem-solving skills.
- Ability to work easily and cooperatively with other departments.
- Ability to work independently and follow through on tasks without direct supervision.
- Ability to work well under pressure in a flexible, diplomatic and expeditious manner.
- Maintains strict confidentiality of patients' records and adherence to all HIPAA and other policies and regulations.
- Must be extremely accurate with attention to details, policies, and procedures.
- Excellent and accurate calculator, and computer skills.
- Dependable and reliable.
Regular attendance is required including varied hours. At times, individual must be able to work in a fast-paced environment with ability to handle and prioritize multiple, competing tasks and demands and to consult Supervisor when necessary. Overtime requires approval by Supervisor.
Physical Demands
The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hands/fingers; and reach with hands and arms. Employee must be able to remain in work area for several hours at a time. The employee occasionally lifts and/or moves up to twenty (20) pounds. Specific vision abilities required by this job include close vision and ability to adjust focus. It also requires manual dexterity in combination of eye / hand coordination. Work environment is subject to many interruptions, varying and unpredictable situations and time pressures related to multiple tasks. Work is normally performed inside. There is exposure to chemicals and cleaning supplies.
OSHA Category
Category III: Position does not entail predictable or unpredictable exposure to blood. The above statements are intended to describe the general nature and level of work performed by people assigned to this position. They are not intended to be an exhaustive list of responsibilities, duties and skills required of personnel so classified. Other functions may be assigned and management retains the right to add or change the duties at any time. Advanced notice may not always be possible.
Benefits Include:
- Medical Insurance
- Vision Insurance
- Dental Benefits
- 401 K
- Paid Time Off
- Holiday Pay
- Strong Business Support Team
- Continued Education
- On-going Training
- Company Event
- Community Outreach
- Career Progression Opportunities
