Full Stack Specialist
Sun Life
full-time
Posted on:
Location Type: Hybrid
Location: Kansas City • Connecticut • Kansas • United States
Visit company websiteExplore more
Salary
💰 $43,100 - $58,200 per year
About the role
- Claims Follow-Up: Review and follow up on outstanding claims to ensure timely reimbursement
- Denial Management: Investigate claim denials, determine reasons for non-payment, and follow up with the payer to resolve and appeal when necessary
- Billing: Oversee billing activities, ensuring accurate and timely submission of claims to payers, and address any billing discrepancies
- Rejections: Identify, investigate, and resolve claim rejections promptly to ensure the timely processing of payments
- Help Desk: Provide support and respond to internal and external inquiries regarding billing issues, claim statuses, and account discrepancies
- AR Follow-Up: Manage follow-up on outstanding accounts receivable, ensuring timely resolution of overdue claims and facilitating effective communication with payers
- Posting: Accurately post payments and adjustments to patient accounts and insurance claims
- Credit Balances: Identify and resolve credit balances on accounts, ensuring they are handled promptly and according to company policy
- Cross-Training: Willingness to cross-train in all functions of RCM, including but not limited to billing, refunds, collections, and other processes, to support team flexibility and efficiency
- Process Improvement: Assist in identifying and implementing process improvements to streamline the AR and billing functions
- Collaboration: Work closely with other members of the RCM team to ensure timely and effective resolution of claims, share knowledge on payer issues, and improve overall processes
Requirements
- High school diploma or equivalent
- Minimum of 3 years of experience in accounts receivable, dental billing, or a related field is required
- Experience in a dental or healthcare environment, ideally within a Dental Service Organization (DSO) or similar multi-location setting
- Strong knowledge of insurance billing, payment procedures, and AR processes
- Knowledge of payer guidelines and claims appeals processes
- Familiarity with dental practice management systems, such as Dentrix or similar PMS platforms
- Ability to navigate payer portals, insurance company websites, and databases
- Excellent communication and negotiation skills to resolve issues with insurance payers
- Strong attention to detail and organizational skills
Benefits
- Generous vacation and sick time
- Market-leading paid family, parental and adoption leave
- Medical coverage
- Company paid life and AD&D insurance
- Disability programs
- Partially paid sabbatical program
- 401(k) employer match
- Stock purchase options
- Employer-funded retirement account
- Flexible, inclusive and collaborative work environment
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims follow-updenial managementbillingaccounts receivablepayment proceduresclaims appealsprocess improvementposting paymentscredit balance resolutioncross-training
Soft Skills
communication skillsnegotiation skillsattention to detailorganizational skillscollaboration