**Experienced Remote Biller - Appeals Specialist: Join the Team at Rodeo Dental & Orthodontics and Elevate Your Career in Healthcare Revenue Cycle Management**
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!
Apply Now
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!
Apply Now