Revenue Cycle Management Specialist

Join our dynamic healthcare team as a Revenue Cycle Management Specialist on the dental clinic side of the revenue cycle. In this role, you will help optimize the financial performance of a dental medical practice by managing the billing and coding process, ensuring accurate claims submission, and maximizing reimbursement from health insurance providers.

You will support the smooth operation of the revenue cycle while contributing to high-quality patient care and organizational success.

Duties include:

• Review and accurately code medical procedures and diagnoses using CPT, ICD-9, ICD-10, and DRG coding systems.
• Prepare and submit clean claims to insurance companies using billing software and EMR systems.
• Follow up on unpaid or denied claims and use effective collection strategies to recover outstanding balances.
• Verify patient insurance coverage, benefits, and eligibility.
• Maintain medical records and documentation in compliance with healthcare regulations and standards.
• Collaborate with healthcare providers to improve documentation and coding accuracy.
• Use Microsoft Office tools to generate reports, track billing metrics, and support revenue cycle data analysis.
• Work with DSN, CareStack, and HST.