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Revenue Cycle Management Specialist

Celebration, FL

Posted: 04/21/19 Job Category: Candidate Checklist Job Number: 534
BlueWave is hiring a Revenue Cycle Management Specialist for a Dental Software company in Orlando Florida.  The Revenue Cycle Claims / Eligibility Specialist is responsible for tasks related to the revenue cycle, including but not limited to data entry, processing payments, claims submission, identifying workflows to reduce denials and decrease the amount of time a claim is in the revenue cycle.  

  • Represent the company commitment to excellence in client services and products
  • Process rejections, denials, and other correspondence
  • Claim aging management including submission, follow-up, resubmission, and documentation
  • Responsible for precise and accurate insurance eligibility and breakdown of benefits
  • Posting payments received directly from policyholders and insurance companies
  • Review patient accounts and determining appropriate billing distributions
  • Process appeals for all insurance carriers
  • Effectively communicate with clients to influence workflow changes that will properly impact the revenue cycle
  • Write off delinquent balances according to client guidelines and approvals
  • Report on daily responsibilities and tasks
  • Research and test current and upcoming releases pertaining to RCM to identify possible user challenges and report back to developers
  • Perform to KPIs as indicated by department manager
  • Contribute to and generate ideas to improve systems and processes for increased results
  • Proactively engage in continuing education to stay current on changes in the industry and RCM requirements
Skills and Qualifications:
  • High school diploma or equivalent
  • Minimum 2 years’ dental billing and insurance eligibility verification experience
  • Self-motivated with the ability to exceed client expectations
  • Excellent organizational skills to effectively handle multiple tasks
  • Flexibility to support change when necessary for varying schedules
  • Proven track record of ideal percentage of outstanding accounts receivable in relation to production and collection goals
  •   A whatever it takes attitude when communicating with insurance companies to overcome barriers to timely payment
  •   Detail-oriented with demonstrated billing and coding knowledge
  • Advanced computer skills with the ability to adapt to workflow changes as PMS changes
  • Strategic and supportive style when communicating with patients about their accounts
  • Thorough and precise insurance verification to reduce errors, denials, balances, and write-offs 


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