Our growing dental team transforms lives one smile at a time, and we want you to join us!
The Espire Experience brings out the best in people through moments of pride, joy, and trust. We promise to deliver high quality, innovative care for our patients and team members in a warm, personalized environment. The soul of our practice is the beauty we make and the confidence we create, and we continuously change lives for the better.
If you believe that joy is a state of being, that leaders inspire others to dream more, learn more, and become more, and we all grow when we face and overcome challenges, Espire Dental is the place for you!
The Hybrid Insurance Specialist will be the in-house insurance expert on plan details, provider credentialing and provider licensure. This role will have a heavy focus on RCM functions such as claim submission, verifications, insurance payment posting, insurance AR, and patient AR. The Insurance Specialist will impact results by delivering the Espire mission to team members and patients by living joyfully, leading bravely, and creating greatness
Description:
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Submit claims for a subset of practices at Espire Dental
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Post Insurance payments in the form of paper check, EFT, and ERA
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Work outstanding insurance AR
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Communicate with practices regarding what's needed and/or missing
- Identify trends for denials
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Submit appeals for denied services
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Monitor individual KPIs
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Work full RCM cycle
Required qualifications
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5+ years in dental field, either clinical or administration
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Knowledge of dental portals
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Expert level knowledge of dental insurance
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Proactive problem solving
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Strong organizational skills
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Ability to work in a team environment
- Be a self-starter
This position is eligible for bonuses and incentives
Education/License Requirements
- High school diploma or GED, required
- Bachelor’s Degree in Business or related field, or equivalent experience, preferred
Experience Requirements:
- 5+ years’ experience in the dental insurance field, required
Skills Requirements:
- Expert level knowledge in dental insurance
- Proactive problem solving
- Analytical approach to providing recommendations
- Strong organizational skills
- Understanding of compliance and regulatory standards pertinent to scope of activities of job
- Ability to work in a team environment required
- Excellent coaching skills
Physical Requirements:
Level 1: A combination of sitting, standing and walking with little requirement for physical effort. There may be a requirement to exert light physical effort for short periods.
Supervisory Responsibilities:
No supervisory responsibility.
