Insurance Billing Assistant

Salary: Insurance Billing Assistant Reports to: Team Lead Headquarters: Savannah, GA Job Location: Remote What we do at Dental Cashflow Solutions: DCS is a dental revenue cycle management company that works with dentists, dental offices, and DSOs in the United States. DCS empowers dental teams by integrating highly trained RCM experts and a unique technology framework to maximize profitability and catalyze growth. Our dental billing systems and processes allow our employees to work all aspects of the full revenue cycle system efficiently, to increase profits for dental practices and groups. Position Summary: Dental Cashflow Solutions is seeking a detail-oriented and organized Insurance Billing Assistant to join our team. Reporting to the Team Lead, the successful candidate will focus on managing and resolving outstanding claims on insurance aging reports and submitting daily claims, including appeals and reconsiderations. This role requires a strong understanding of dental insurance claims processes, attention to detail, and the ability to work independently to ensure claims are processed efficiently, accurately, and with all necessary supporting documentation. How the Insurance Billing Assistant fits in: The Insurance Billing Assistant is critical to ensuring that outstanding claims are resolved and daily claims are submitted without delay. By diligently working through insurance aging reports and managing the submission of claims, appeals, and reconsiderations, including all necessary documentation, you will directly contribute to the financial health and operational success of our clients. Collaboration with teammates is also key to this role, as you will work closely with your Team Lead and other team members to share information, resolve complex claims, and ensure consistency and accuracy in the claims process. Your ability to work effectively within a team will enhance the overall efficiency and success of the claims management process. In this role, you will: Managing Outstanding Claims:

• Review and work through insurance aging reports to identify and resolve outstanding claims.
• Follow up on pending claims with insurance carriers to ensure timely reimbursement and reduce aging accounts.

Claims Submission, Appeals, and Reconsiderations:

• Prepare and submit daily claims for dental services, ensuring accuracy, compliance with payer requirements, and inclusion of all necessary supporting documentation.
• Handle the submission of appeals and reconsiderations for denied or underpaid claims, providing the required documentation and follow-up.

Documentation and Data Management:

• Maintain accurate and up-to-date records of claims, appeals, and reconsiderations in our database.
• Ensure all claims documentation, including supporting documents, appeals, and reconsiderations, is correctly filed and accessible for audits or client inquiries.

Technical Competencies:

• Demonstrate familiarity with dental insurance claim forms, coding, and payer requirements.
• Utilize claims management software and databases to track the progress of claims and manage outstanding accounts.

Attention to Detail and Time Management:

• Submit accurate and complete claims, appeals, and reconsiderations, adhering to deadlines and ensuring timely task completion.
• Work independently to manage multiple tasks, focusing on reducing the insurance aging report and ensuring daily claims are processed with all necessary documentation.

Client Interaction and Relationship Management:

• Communicate with insurance payers, providers, and internal teams as needed, representing DCS professionally.
• Assist in maintaining positive relationships with external partners to support the claims process.

Independent Work and Growth Mindset:

• Manage your workload effectively, demonstrating the ability to work independently while meeting expectations.
• Seek opportunities to learn and grow in the field of dental insurance claims, particularly in claims resolution, appeals, and reconsiderations.

Problem Solving and Efficiency:

• Identify and resolve issues related to outstanding claims, appeals, and reconsiderations, working efficiently to minimize disruptions to client services.
• Implement process improvements to enhance the accuracy and efficiency of claims processing tasks.

Client Service and Accountability:

• Provide exceptional service to clients, ensuring that inquiries about outstanding claims, appeals, and reconsiderations are addressed promptly and accurately.
• Take responsibility for the accuracy and completeness of claims, appeals, reconsiderations, and supporting documentation.

Success Criteria: Client Retention and Satisfaction:

• Maintain a Client Retention Rate of 90% or higher.
• Maintain a Net Promoter Score (NPS) of 8 or above for accounts assigned to the Insurance Billing Assistant's specific book of business.

Revenue Generation:

• Insurance Billing Assistants are expected to contribute to the individual book of business minimum equivalent to $100,000 insurance collections per month.

Outstanding Claims Resolution:

• Resolve a minimum of 40 claims per day when working on outstanding claims.

Claim Submission Accuracy:

• Maintain an insurance claims submission accuracy rate of 98%.

Audit Score:

• Maintain an overall audit score of 90% or higher.

Requirements:

• 1+ year of experience in an administrative support role, preferably within a healthcare or dental setting.
• Experience working as an independent contractor is preferred.
• Familiarity with working with independent contractors on a global scale.
• High School diploma or GED; some college coursework is a plus.
• Proficiency in Microsoft Office (Excel, Word, Outlook, etc.); experience with credentialing software is advantageous.
• Strong organizational skills, attention to detail, and the ability to manage multiple tasks independently.
• Excellent communication skills, both written and verbal.
• Ability to work independently and manage your own workload effectively.

Our Company Values:

• Customer Success
• Transparency
• Reliability
• Professional Excellence
• Alignment

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