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ICore

Dental Billing Specialist

3-5 Years
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Job Description

Join iCore as a Dental Billing Specialist, where you'll work with U.S. insurance companies and a global team to manage accounts receivable, process claims, and improve client collections. This role is ideal for offshore candidates seeking stable, long-term work with structured processes and opportunities to build expertise in U.S. healthcare billing.

About iCore

iCore is a dentist-led healthcare company with 15+ years of experience, providing cloud-based technology and hands-on support to help dental and healthcare practices improve operations, billing, and revenue cycle management. Offshore team members join a collaborative, global workforce dedicated to supporting U.S. practices and driving long-term client success.

Mission: To give dental teams one connected platform that lets them focus on exceptional patient care.

Core Values: Excellence, Accountability, Client Success, Teamwork, Innovation.

Responsibilities and Duties:

  • Manage, investigate, and resolve claims. Investigate and evaluate coverage, liability, and settle claims to ensure payment be sent to the assigned client.
  • Resolve claim errors so all subsequent claims are pending payment within 30 days from service date.
  • Decrease over 30 day insurance A/R by deadlines.
  • Perform ledger audits and corrections (if applicable) to ensure accuracy on the account from the origin of balance
  • Submit appeals to the insurance carriers will overturn the decision of the denied claim.
  • Make appropriate and timely notes in the client's practice management software.
  • Organizing their workload on a daily and weekly basis to ensure an appropriate amount of time is spent on each client they are assigned.
  • Review and research more complicated claims by navigating multiple computer systems and insurance website platforms
  • Capture accurately pricing, prior authorizations, applicable benefits, coding and other information
  • Update claim information based on research and communication from client or insurance
  • Complete necessary adjustments to claims and ensures the proper benefits are applied to each claim
  • Communicate extensively with team members and the office via email and daily reports regarding adjustments to resolve claims errors/issues, using clear, simple language to ensure understanding

Qualifications:

  • Education Level - High School Diploma
  • Experience - At least three years of experience in a dental office setting with the primary role of billing.
  • Computer Operations Abilities: Intermediate PC skills including email, routine database activity, word processing, spreadsheets, graphics, etc.
  • Advanced Skills - Comprehension of dental terminology, ability to read x-rays, proven knowledge of certain Practice Management Softwares, experience with current CDT codes and billing in a dental office environment, comprehension of billing laws by state, comprehension of coordination of benefits, excellent customer service skills and phone manner, ability to manage stress in a fast-paced environment.
  • Personal Characteristics - High levels of organization, multi-tasking, and self discipline are required to perform the duties of this position successfully.

Reviews:

Insurance Claims Specialists receive regular reviews during their career with Versa Solutions Inc.

The following will be reviewed:

  • Communication between team members
  • Communication with clients
  • Teamwork/team building
  • Performance goals attainability
  • Work quality
  • Use of technology
  • Timeliness
  • Attendance

Financial:

  • Competitive salary
  • Performance Bonus: Monthly productivity-based bonus tied to AR performance
  • Schedule: 8 hours per day between 8:00 AM and 5:00 PM EST
  • Commitment: Full-time, 40+ hours per week
  • Work Setup: Fully remote position

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About Company

Job ID: 145112589