Revenue Cycle Management Specialist

Job Summary

Working remotely in a full-time capacity, the Revenue Cycle Management Specialist will manage front-end and mid-cycle revenue cycle tasks, focusing on insurance verification, claim submission, and customer service to ensure accurate eligibility and a positive experience for patients.

Key Responsibilities

• Perform all assigned RCM activities in accordance with best practices and internal SOPs
• Verify insurance coverage and benefits for scheduled patients using payer portals or phone calls
• Prepare and submit claims in accordance with payer-specific requirements and timelines

Required Qualifications

• Prior experience in Dental Office workflows and Revenue Cycle functions
• Knowledgeable of reimbursement/compliance processes and procedures with all payors
• Experience with practice management software systems and insurance portals
• Strong interpersonal, organizational, and analytical skills
• Certified Professional Coder (CPC) or Certified Revenue Cycle Professional (CRCP) credentials preferred