Ortho AR Specialist
Overview:
SummaryThe Orthodontic Accounts Receivable (AR) Specialist is responsible for the timely and accurate execution of insurance claims processing, patient AR follow-up, and resolution of account balances. This position is focused on task-level support for collections, including reviewing EOBs, submitting appeals, correcting billing errors, and contacting payers and patients. The AR Specialist plays a key role in maintaining clean claims, minimizing aging AR, and supporting revenue cycle team goals through dependable daily follow-up activities.Essential Responsibilities⢠Reads/analyzes Explanations of Benefits (EOBs) for accuracy; determines appropriate follow-up actions. ⢠Submits dental claims, appeals, and supporting documentation to payers. ⢠Identifies and corrects billing errors and resubmits claims as needed. ⢠Conducts root cause research for denied or unpaid claims. ⢠Uses insurance portals and phone outreach to follow up on claim status. ⢠Bills work-in-progress, secondary and tertiary insurance when applicable. ⢠Reviews remittance advice for underpayments or payment discrepancies. ⢠Escalates recurring payer issues or delays to supervisors as needed. ⢠Initiates & maintains patient AR follow-up for overdue balances, per internal protocols. ⢠Coordinates payment arrangements or flag accounts for further collection activity. ⢠Conducts ledger audits, contract corrections, and AR adjustments with policy alignment. ⢠Responds to practice-level inquiries via email or ticketing system in a timely and professional manner. ⢠Supports Cloud9 optimization and contribute feedback to improve workflows. ⢠Meets assigned productivity benchmarks and team performance goals. ⢠Expected to work all scheduled days and hours, and to report to work on time.⢠Embraces NADGâs values, culture, and âCore 3â: People First, Access to Care, and Cost Containment.⢠Supports the NADG Care Cycle and prioritizes delivering best-in-class patient care.⢠Other duties as assigned.Experience/Requirements⢠Minimum of 2 years in dental revenue cycle, including claims billing and patient collections.⢠Proficiency in Microsoft Office Suite.⢠Familiarity with insurance portals and eligibility/claim inquiry tools.⢠Knowledge of insurance payer guidelines and AR workflows.⢠Experience with Cloud 9 or other orthodontic software preferred.Knowledge, Skills, and Abilities (KSAs)⢠Attendance & Reliability: Arrives to work on time; dependable, punctual, and demonstrates strong time management skills.⢠Cooperation & Teamwork: Works respectfully and effectively with colleagues; contributes meaningfully to help the practice achieve its goals.⢠Communication Skills: Demonstrates clear, organized, and effective written and oral communication; exhibits strong listening and comprehension abilities.⢠Customer Service: Provides professional, helpful, and high-quality service to both internal and external customers, addressing patient needs effectively.⢠Leadership & Decision-Making: Makes thoughtful, well-reasoned decisions; demonstrates resourcefulness and creativity in problem-solving.⢠Initiative & Flexibility: Takes initiative by seeking additional responsibilities; identifies problems and proposes solutions; adapts well to new challenges and unexpected changes.⢠Knowledge & Expertise: Possesses a strong understanding of the information, processes, and procedures necessary to perform the role effectively.⢠Technical Capabilities: Performs job responsibilities with attention to detail, consistency, productivity, and efficiency, in alignment with company and industry standards.⢠Digital Dentistry: Demonstrates knowledge of digital equipment and software used in the practice, including Open Dental, Primescan, Overjet, and others.Education/Certifications⢠High school diploma or equivalent⢠Additional education or certifications in billing/coding preferred.Physical/Environmental⢠This is a sedentary role, requiring prolonged periods of sitting and regular use of a computer and other standard office equipment.⢠Requires frequent talking, hearing, and visual acuity for computer work and communication.⢠May occasionally be required to lift items weighing up to 30 pounds.⢠Work is performed in a private home office environment.⢠Occasional travel may be required.#NADG3
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SummaryThe Orthodontic Accounts Receivable (AR) Specialist is responsible for the timely and accurate execution of insurance claims processing, patient AR follow-up, and resolution of account balances. This position is focused on task-level support for collections, including reviewing EOBs, submitting appeals, correcting billing errors, and contacting payers and patients. The AR Specialist plays a key role in maintaining clean claims, minimizing aging AR, and supporting revenue cycle team goals through dependable daily follow-up activities.Essential Responsibilities⢠Reads/analyzes Explanations of Benefits (EOBs) for accuracy; determines appropriate follow-up actions. ⢠Submits dental claims, appeals, and supporting documentation to payers. ⢠Identifies and corrects billing errors and resubmits claims as needed. ⢠Conducts root cause research for denied or unpaid claims. ⢠Uses insurance portals and phone outreach to follow up on claim status. ⢠Bills work-in-progress, secondary and tertiary insurance when applicable. ⢠Reviews remittance advice for underpayments or payment discrepancies. ⢠Escalates recurring payer issues or delays to supervisors as needed. ⢠Initiates & maintains patient AR follow-up for overdue balances, per internal protocols. ⢠Coordinates payment arrangements or flag accounts for further collection activity. ⢠Conducts ledger audits, contract corrections, and AR adjustments with policy alignment. ⢠Responds to practice-level inquiries via email or ticketing system in a timely and professional manner. ⢠Supports Cloud9 optimization and contribute feedback to improve workflows. ⢠Meets assigned productivity benchmarks and team performance goals. ⢠Expected to work all scheduled days and hours, and to report to work on time.⢠Embraces NADGâs values, culture, and âCore 3â: People First, Access to Care, and Cost Containment.⢠Supports the NADG Care Cycle and prioritizes delivering best-in-class patient care.⢠Other duties as assigned.Experience/Requirements⢠Minimum of 2 years in dental revenue cycle, including claims billing and patient collections.⢠Proficiency in Microsoft Office Suite.⢠Familiarity with insurance portals and eligibility/claim inquiry tools.⢠Knowledge of insurance payer guidelines and AR workflows.⢠Experience with Cloud 9 or other orthodontic software preferred.Knowledge, Skills, and Abilities (KSAs)⢠Attendance & Reliability: Arrives to work on time; dependable, punctual, and demonstrates strong time management skills.⢠Cooperation & Teamwork: Works respectfully and effectively with colleagues; contributes meaningfully to help the practice achieve its goals.⢠Communication Skills: Demonstrates clear, organized, and effective written and oral communication; exhibits strong listening and comprehension abilities.⢠Customer Service: Provides professional, helpful, and high-quality service to both internal and external customers, addressing patient needs effectively.⢠Leadership & Decision-Making: Makes thoughtful, well-reasoned decisions; demonstrates resourcefulness and creativity in problem-solving.⢠Initiative & Flexibility: Takes initiative by seeking additional responsibilities; identifies problems and proposes solutions; adapts well to new challenges and unexpected changes.⢠Knowledge & Expertise: Possesses a strong understanding of the information, processes, and procedures necessary to perform the role effectively.⢠Technical Capabilities: Performs job responsibilities with attention to detail, consistency, productivity, and efficiency, in alignment with company and industry standards.⢠Digital Dentistry: Demonstrates knowledge of digital equipment and software used in the practice, including Open Dental, Primescan, Overjet, and others.Education/Certifications⢠High school diploma or equivalent⢠Additional education or certifications in billing/coding preferred.Physical/Environmental⢠This is a sedentary role, requiring prolonged periods of sitting and regular use of a computer and other standard office equipment.⢠Requires frequent talking, hearing, and visual acuity for computer work and communication.⢠May occasionally be required to lift items weighing up to 30 pounds.⢠Work is performed in a private home office environment.⢠Occasional travel may be required.#NADG3
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