RCM Dental Specialist in Holly Springs, North Carolina at LC Services 1, LLC

Under general supervision, this Revenue Cycle Management (RCM) Specialist supports RCM processes including, but not limited to, insurance benefit verification, dental insurance carrier/plan maintenance, dental claims billing and collections tasks assigned to the revenue cycle department for a multi-site oral surgery group in the Raleigh/Durham area of North Carolina. Services of this position may impact the short-term direction, operations and/or financial status of various dental offices. Decisions made have an impact on compliance, resources, and provider service.

Location: Holly Springs/Raleigh, NC area.

RCM Claims Specialist Responsibilities:

• Responsible for assigned projects and processes for an office or office group at a time, including but not limited to insurance verification, claims submission, claims statusing, payment posting, patient accounts receivables, patient billing inquiries, denials and appeals management and or other RCM tasks, as designated.
• Reinforce RCM processes, policies, and compliance items that are in place by working with the Operations, Front office and RCM teams.
• Support Revenue Cycle process and communicate, educate, and collaborate with practice managers.
• Maintain up-to-date knowledge of billing, coding, and productivity auditing
• Maintain knowledge of payer processing and payer policies, Medicaid, and Dental Payers, sometimes medical payers.
• Report trending data with supporting evidence and identify areas of RCM opportunities.
• Meet established production and quality standards as set by RCM Director, Operations Leaders, or practice managers.
• Celebrate personal and team improvements, progress, and success with fellow staff members
• Performs special projects and other duties as assigned.

Revenue Cycle Management Specialist Preferences and Requirements:

• Bachelor's degree in finance, business administration, healthcare administration, or related field or minimum 3-5 years’ experience in a healthcare revenue cycle position.
• Oral surgery billing experience, preferred.
• Strong knowledge of computer skills, Outlook, Word, Excel (pivot tables), and database software skills
• Medical billing knowledge, preferred.
• Possess the ability to work in a constantly changing and fast-paced environment, good judgment skills, and capable of making decisions with attention to detail.
• Must have excellent time management and organizational skills, and ability to prioritize and coordinate workload with high proficiency and accuracy.
• Must have excellent analytical and problem-solving skills.
• Maintains strict confidentiality of patient’s medical records and adherence to all HIPAA, OSHA, and cybersecurity policies and regulation
• Have strong oral, written, and interpersonal communication skills
• Ability to read, understand, and apply state/federal laws, regulations, and policies.
• Ability to adapt to and train on multiple PMS systems, including DSN.
• Ability to communicate with diverse personalities discreetly, maturely, and professionally.
• Ability to work easily and cooperatively with other departments.
• Ability to work independently and follow through on tasks without direct supervision.
• Ability to work well under pressure in a flexible, diplomatic, and expeditious manner.
• Ability to work with all levels of teams, from Entry-level to Sr. Leadership