Insurance & Billing Specialist at Espire Dental – Greenwood Village, Colorado

Job Details

Job Location Espire Dental - PSC - Greenwood Village, CO
Position Type Full Time
Salary Range $23.00 - $30.00 Hourly
Description

The Insurance and Billing Specialist will be the in-house insurance expert on the dental revenue cycle. This role will have a heavy focus on RCM functions such as claim submission, verifications, insurance payment posting, insurance AR, and patient AR. This team member will also have opportunities to be project managers of process improvement within the RCM Cycle. Insurance Specialist will impact results by delivering the Espire mission to team members and patients by living joyfully, leading bravely, and creating greatness.

Main Responsibilities:

• RCM functions including but not limited to, insurance plan strategy, claims management, insurance payment posting, verifications, and aging reports

• Support our group of practices in California, Colorado, Wyoming, Texas, and Oklahoma in all functions RCM

Additional Responsibilities:

• Assist our credentialing division in managing all insurance payor relationships
• Assist our credentialing division in provide strategic analysis on insurance plan utilization
• Ensure all providers are appropriately credentialed
• Manage all provider malpractice enrollment
• Track all provider licensure
• Input all fee schedules
• Provide support on local market fee analysis

Education/License Requirements:

• High school diploma or GED, required
• Bachelor’s Degree in Business or related field, or equivalent experience, preferred

Experience Requirements:

• 2+ years’ experience in the dental insurance field, required

Skills Requirements:

• Expert level knowledge in dental insurance
• Proactive problem solving
• Analytical approach to providing recommendations
• Strong organizational skills
• Understanding of compliance and regulatory standards pertinent to scope of activities of job
• Ability to work in a team environment required
• Excellent coaching skills

Physical Requirements:

Level 1: A combination of sitting, standing and walking with little requirement for physical effort. There may be a requirement to exert light physical effort for short periods.

Supervisory Responsibilities:

No supervisory responsibility.

Travel Requirements:

1% - 10% travel required.