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Jun 25, 2021
Mon, Tue, Wed, Thur, Fri, Sat
The Payment Application Specialist supports a number of Pediatric, General, Oral Surgery, and Orthodontic dental offices in the Southeast, in the centralized billing office. The Payment Application Specialists are responsible for posting payments, applying adjustments appropriately, and reconciling between lockbox and bank account for deposits from various forms of payments. Researching missing remittance advice, or payments, and ensure that goals are being met that are established by the organization for speed and accuracy. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Minimum Eligibility Requirements Successful completion of high school or commercial coursework including math, bookkeeping and business. Post high school courses in insurance billing, data processing and medical terminology preferred. Courses in insurance billing, data processing and medical terminology preferred. Knowledge of third-party billing requirements Knowledge and experience with Medicaid billing requirements Experience in using E-service (specifically ERAs) in platforms from various practice management solutions, such as Henry, Patterson and Carestream. Dentrix and Eaglesoft Software Preferred Education and Experience Associate and or Bachelor Degree 3 years’ experience in Revenue cycle in dental/health care industry Knowledge of dental terminology, procedures and diagnosis Knowledge of computer and relevant software applications Knowledge of general administrative and clerical procedures Must be able to type 35 wpm and operate a CRT and personal computer Additional Eligibility Requirements Eaglesoft Software Dentrix Software Cloud 9 Software Microsoft Office Microsoft Excel Practice Works SoftDent Core Competencies Integrity - Possessing a moral compass that embodies an eminent consistency in one’s actions and expectations aimed to exemplify behaviors that are ethical, honest, fair and sincere. Team work – Working collaboratively with others to achieve organizational goals. Quality focus – Follows up on procedures, ensures high quality output and takes action to solve quality related concerns or makes the appropriate notification of quality related issues. Problem solving – Identifies problems and takes the appropriate measures to resolve and/or find solutions. Communicates effectively – Listens actively and openly, honestly and respectfully among varying audiences, while promoting dialogue and consensus building that is two-way. Achievement orientation – Focused efforts on achieving high quality results that are consistent with the organization’s standards. Essential Functions Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Ability to work in a team environment, but also disciplined to work independently Maintain good relationship with office staff, and payer contacts, that we service Reconcile daily deposit reports with payments posted within Shared Services Excellent Communication and Customer services skills Secures needed medical documentation required or requested by third party insurances. Works with Dentist or Practice staff to ensure correct diagnosis/procedures are reported to third party insurance carriers. Keeps updated on all billing and benefit changes for third-party insurance carriers. Monitors denials while posting for missing information and authorization/control numbers. Responsible for identifying trends while posting, that require escalation up to prevent them from continue to occur. Have knowledge of denial and remark codes in remittance advice. Maintains confidentiality of all PHI, HIPPA, patient and company-related information. Completes work within authorized time to assure compliance with departmental standards. Demonstrates knowledge of, and supports, the practice’s and company’s mission, standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethics. Enforce our company culture and values, by creating a customer experience of the highest quality, and maintain our professional relationships with patients, payers, and co-workers both directly, and offshore. The job description provides a framework for the job, other duties may be assigned as necessary Competencies Stress Management/Composure. Results Driven. Technical Capacity. Problem Solving/Analysis. Customer/Client Focus. Teamwork Orientation. Collaboration. Time Management. Excellent Communication. Work Environment This job operates in a centralized billing office, representing practices in the Southeast. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Physical Demands This is primarily a sedentary role, where most of the work is performed sitting at a desk majority of the day and answering phones. The physical demand described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to use hands and fingers to handle, feel, or operate objects, tools or controls, and reach with hands and arms. The employee is frequently required to stand, talk and hear. Position Type and Expectations of Work Hours This is a full-time position or may be part-time. Days and hours of work are Monday through Friday 40-50 hours a week. Travel Some travel to various practices may be required.
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