Medicaid AR Specialist

Medicaid Accounts Receivable Specialist

Work for a company that is truly making the world a happier place, one smile at a time! At Benevis, we create over a million smiles a year in the communities we serve and believe that every person deserves access to quality, affordable dental care. This mission drives everything we do. With over 2,000 employees in offices across the country from clinical to support staff - we are united in our mission to create happy, healthy smiles through providing high quality dental care in a fun, compassionate environment. Are you ready to join us in creating our next million smiles? We have JUST the opportunity for you.

The Medicaid Accounts Receivable Specialist assists in the follow up of all Medicaid unpaid claims and open balances. This includes timely follow up on outstanding denials and assisting in identifying trends that can negatively impact revenue.

Responsibilities:

• Work unpaid and denied claims
• Contact payers to research claim status
• Pull procedure reports.
• Update internal documents with claim results/status.
• Constant communication with departments within our organization (EDI, Verification, Billing, Credentialing, etc.) as well as external clients (i.e. Payers)
• Generate claims and assist in preparing and submitting appeals to payers
• Report to AR Manager any denial trends that can negatively impact revenue for the assigned region in a timely manner

Qualifications:

• High School Diploma or GED. Degree preferred.
• Two or more years of experience in healthcare reimbursement related to billing, collections and claims management preferred.
• Demonstrate working knowledge of the revenue cycle process, compliance, and federal regulations preferred.
• Demonstrate skills and experience in effectively collaborating with team members using oral, written, and interpersonal communications.
• Ability to organize and prioritize multiple assignments.
• Excellent Computer Skills: Excel, Word, and Outlook.
• Experience with health insurance programs preferred.
• Detail oriented with the ability to follow through on daily tasks.
• Two years customer service experience
• Must have knowledge of Microsoft Excel, Word, and Outlook
• Excellent communication skills (written and verbal)
• Well organized and detailed with the ability to communicate in an appropriate and timely manner
• Ability to work well with a team
• Multitask oriented
• Revenue Cycle experience preferred

Physical Demands

The nature of work requires an ability to effectively communicate and exchange information with staff, supervisors, and other internal clients.

Work performed in a non-clinical office environment. Requires availability for extended hours during peak periods. Hours may change to meet business needs.

We value teamwork, mutual respect, and cooperation. We do not practice unlawful discrimination, including harassment or tolerate it in our workplace. What do we mean by discrimination? We mean that we do not discriminate on the basis of race, color, creed, religion, sex, national origin, age, citizenship, disability, sexual orientation or any other characteristic protected by federal, state, or local law.