Company: Partnerships for Dentists

Location: Remote

Department: Revenue Cycle Management

Employment Type: Full-time

Position Summary

The Revenue Cycle Specialist is responsible for the accurate and timely submission of dental claims and proactive follow-up to ensure appropriate reimbursement. This role plays a critical part in optimizing cash flow by resolving claim rejections, denials, and underpayments while maintaining compliance with payer and regulatory requirements.

Key Responsibilities

• Submit clean, accurate claims to commercial, and government payers in a timely manner
• Monitor claim status within Inside Desk
• Identify, research, and resolve claim rejections and denials
• Correct and resubmit denied or rejected claims as needed
• Escalate unresolved or complex claim issues as appropriate
• Maintain detailed documentation of claim activity and follow-up efforts within Inside Desk
• Communicate effectively with offices that you support
• Meet productivity and quality benchmarks established by the organization

Qualifications

• High school diploma or equivalent required; associate degree preferred
• 1–3 years of experience in dental billing, claims submission, or revenue cycle management
• Working knowledge of CDT coding concepts
• Experience with claim follow-up, denials management, and payer portals
• Familiarity with commercial insurance, Medicare, and Medicaid billing processes
• Strong attention to detail and organizational skills
• Ability to manage multiple priorities and meet deadlines
• Proficient in electronic health record (EHR) and practice management systems
• Strong written and verbal communication skills

Preferred Qualifications

• Experience in Eaglesoft, Dentrix, Open Dental, Dental Exchange and Inside Desk
• Knowledge of appeal processes and payer-specific requirements

Benefits

• Competitive compensation
• Medical, dental, and vision insurance
• Paid time off and holidays
• Retirement plan with employer contribution