MANIILAQ ASSOCIATION
9/26
Title: Dental Revenue Cycle Specialist Pay Grade: 26
Program: Dental Status: Non-Exempt
Housing Priority: No Covered: Yes
POSITION SUMMARY
The Dental Revenue Cycle Specialist evaluates, analyzes, and coordinates all aspects of the Revenue Cycle within the Maniilaq Association Dental Clinic. Reports directly to the Dental Clinic Manager. Works closely with Maniilaq Health Center Department of Patient Financial Services. Communicates professionally with the Chief Dentist, Case Managers, and executive leadership.
PRINCIPAL DUTIES AND RESPONSIBILITIES
Performs daily audits and assists in managing registration work flow, which includes updating EHR has needed
Provide support for front office staff in work flow and scheduling
Daily review of services performed for charge validation, which includes charge entries and batching for billing
Review encounters and apply appropriate adjustment and payment entries
Assist billing team requests for audits or requests for accurate billing and payments review
Monitors payer denials, conducts root cause analysis, and investigates potential solutions
Uses payer resources and web portals for claim status or eligibility
Contact patients/guarantors to verify insurance or assist with billing questions
Coordinates self-pay account management which may include generating statements, combining accounts, setting up payment plans and payroll deductions for employee self-pay accounts and promoting financial assistance and sliding fee scale discounts.
Identify patient needs for health benefits and refer to appropriate department for enrollment
Help identify provider enrollment issues with insurance payers
Assist with process documentation and training for all revenue cycle functions
Participates in all Revenue Cycle meetings.
Other duties as assigned.
MINIMUM REQUIREMENTS
Bachelor’s degree in Business Administration Preferred or 4 years proven experience and knowledge of full revenue cycle operations. Working knowledge of CPT, Dx codes. (Dental preferred) Experience is denials management and root cause trending. Experience in maintaining EHR records, experience in Microsoft office products. Excellent organizational skills, including the ability to multi-task effectively with strong attention to detail. Must have excellent professional communication.
DISCLAIMER
The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be considered an exhaustive list of all responsibilities, duties and skills required of personnel in this job, and the employer reserves the right to revise or change this description. This description does not constitute a written or implied contract of employment. To perform this job successfully, an individual must be able to satisfactorily perform each of the above essential duties and meet physical demands. Reasonable accommodations may be made to enable individuals with disabilities to meet those conditions.
