About Us
Rodeo Dental & Orthodontics is a pioneering multi-specialty dental group that's revolutionizing the way dental care is delivered across the United States. With over 100 award-winning doctors and 40+ locations spanning Texas, Colorado, and Arizona, we're committed to providing top-notch general dentistry, orthodontics, endodontics, oral surgery, and pediatric dental services to our patients. Our team is driven by a passion for excellence, innovation, and patient satisfaction, making us an ideal place to grow your career.
Job Summary
We're seeking an experienced and detail-oriented Remote Biller - Appeals Specialist to join our dynamic team. As an Appeals Specialist, you'll play a critical role in reviewing unpaid claims from insurance plans, following up with insurance companies, and requesting reconsideration for payment on denied claims. If you have a strong background in dental coding, Medicaid, and PPO claim adjudication, and excellent communication skills, we encourage you to apply for this exciting opportunity.
Key Responsibilities
- Review and analyze unpaid claims from insurance plans to identify potential appeals opportunities
- Follow up with insurance companies after 30 days of filing to ensure timely payment
- Request reconsideration for payment on denied claims with supporting documentation
- Identify delinquent accounts, aging periods, and payment resources to optimize revenue cycle management
- Contact patients for additional insurance information and resubmit dental claims to the appropriate payer
- Review Explanation of Benefits and patient history for accurate reimbursement and discounts by contracted managed care companies
- Research and process rejected claims, resubmitting with corrected information as needed
- Assist with processing insurance and patient refunds in a timely and efficient manner
- Process insurance-related correspondence and respond to inquiries from patients, insurance companies, and internal stakeholders
- Develop and maintain relationships with key personnel at dental payers to facilitate claim reconsiderations
- Maintain strict confidentiality and adhere to regulatory requirements
- Perform other duties as assigned to support the success of our revenue cycle management team
Essential Qualifications
- Knowledge of Dental Coding: Familiarity with dental coding principles and practices is essential for this role
- Dental Medicaid and PPO Claim Adjudication: Experience with Medicaid and PPO claim adjudication is highly desirable
- Dental Benefits and Verification of Coverages: Understanding of dental benefits and verification of coverages is critical for accurate reimbursement
- Legal and Regulatory Provisions: Knowledge of legal and regulatory provisions related to collection activities is necessary to ensure compliance
- Computer Applications and Typing Skills: Proficiency with computer applications and fast typing skills are required for efficient data entry and communication
- Communication Skills: Excellent communication skills are essential for interacting with internal operations, patients, and insurance companies
- Valid Driver's License: This position may require travel to different work sites, so a valid driver's license is necessary
Preferred Qualifications
- Bachelor's degree in a related field (e.g., healthcare administration, business)
- Experience in healthcare revenue cycle management or a related field
- Familiarity with dental practice management software and electronic health records
- Certification in medical billing or coding (e.g., CPC, CCS)
Skills and Competencies
- Analytical and Problem-Solving Skills: Ability to analyze complex data and identify solutions to optimize revenue cycle management
- Communication and Interpersonal Skills: Excellent communication and interpersonal skills for interacting with patients, insurance companies, and internal stakeholders
- Attention to Detail: High level of accuracy and attention to detail to ensure compliance with regulatory requirements and accurate reimbursement
- Organizational and Time Management Skills: Ability to prioritize tasks and manage multiple projects simultaneously in a fast-paced environment
Career Growth Opportunities and Learning Benefits
At Rodeo Dental & Orthodontics, we're committed to supporting the growth and development of our team members. As a Remote Biller - Appeals Specialist, you'll have opportunities to:
- Advance your career in healthcare revenue cycle management
- Develop new skills and expertise in dental coding, Medicaid, and PPO claim adjudication
- Participate in ongoing training and education to stay up-to-date on regulatory requirements and industry best practices
- Collaborate with a team of experienced professionals who are passionate about delivering exceptional patient care
Work Environment and Company Culture
Our company culture is built on a foundation of respect, integrity, and teamwork. As a remote team member, you'll have the flexibility to work from home and enjoy a better work-life balance. We offer:
- A dynamic and supportive work environment that encourages collaboration and innovation
- A team of experienced professionals who are passionate about delivering exceptional patient care
- Ongoing training and education to support your growth and development
- A comprehensive benefits package, including medical, dental, vision, and life insurance
Compensation and Benefits
We offer a competitive salary and benefits package, including:
- Competitive salary range: $50,000 - $70,000 per year (dependent on experience)
- Comprehensive benefits package, including:
- Medical, dental, and vision insurance
- Company-paid life insurance
- Short-term and long-term disability
- Health savings account
- Supplemental life insurance
- 401(k) plan
- Accident and critical illness insurance
- Identity protection
- Team member assistance program
- PTO and holidays
Equal Opportunity Employer
Rodeo Dental & Orthodontics is an equal opportunity employer committed to diversity and inclusion. We're proud to offer a workplace that's free from harassment and discrimination, where all employees are treated with respect and dignity.
How to Apply
If you're a motivated and detail-oriented professional looking for a challenging and rewarding role, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to [insert contact information]. We look forward to hearing from you!
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