Accounts Receivable Specialist

The Accounts Receivable Specialist is a critical role that has direct financial impact on both the business and patients. They are responsible for posting insurance and patient payments to PMS, making necessary adjustments and discounts, as needed. Managing database for patient balances by placing accounts in collections. Processing patient and insurance company refunds, and providing support to assigned dental offices for all financial needs. 

Core Responsibilities: 

• Post EFTs, Lockbox and paper check insurance payments into patient accounts, ensuring proper adjustments and allowable amounts are posted 

• Posts patient payments when received with card information and/or patient check 

• Maintains all secondary claim filing and attachments 

• Triage of denials to appropriate team members 

• Notating accounts when balances are created 

• Maintains insurance resubmissions and requests to a certain level 

• Treatment appeals and additional information to the AR/Claims Coordinator 

• Maintain a collections spreadsheet for all posted monies to be reconciled 

• Manages all refund requests; patient and insurance for assigned offices 

• Generates and sends all monthly Non-E Statements 

• Responsible for maintaining patient aging reports to place accounts in an outside collection company as needed 

Administrative Responsibilities 

• Managing emails to the Receivables and Refunds account 

• Participates in special projects and tasks as assigned 

• Fills in for other AR Specialists as needed 

• Assists and conducts training of new CD RCT members 

• Attends and contributes to monthly meetings 

• Reports to CD RCM with any grievances or issues 

·       Prior experience in dental office administration, billing, or insurance claims processing required.

·       Familiarity with dental terminology, procedures, CDT codes, and insurance claim forms (ADA dental claim form).

·       Strong understanding of dental insurance policies, coverage limitations, and claim submission processes.

·       Ability to accurately review claims, identify errors, and ensure completeness.

·       Strong verbal and written communication for interacting with patients, providers, and insurance companies.

·       Experience with dental practice management software and administrative tools.

·       Ability to troubleshoot claim issues, billing errors, and insurance discrepancies efficiently.

·       Knowledge of HIPAA regulations and adherence to legal and ethical billing practices.

In return for providing an excellent patient experience, we offer a great benefits package for full-time positions to include health and dental benefits, 401(k), holiday pay and paid time off.