Ortho AR Specialist
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Job Location:
Pittsburgh, PA - USA
Monthly Salary:
Not Disclosed
Posted on:
15 hours ago
Vacancies:
1 Vacancy
Job Summary
Overview
Summary
The Orthodontic Accounts Receivable (AR) Specialist is responsible for the timely and accurate
execution of insurance claims processing patient AR follow-up and resolution of account balances. This
position is focused on task-level support for collections including reviewing EOBs submitting appeals
correcting billing errors and contacting payers and patients. The AR Specialist plays a key role in
maintaining clean claims minimizing aging AR and supporting revenue cycle team goals through
dependable daily follow-up activities.
Essential Responsibilities
Reads/analyzes Explanations of Benefits (EOBs) for accuracy; determines appropriate follow-up
actions.
Submits dental claims appeals and supporting documentation to payers.
Identifies and corrects billing errors and resubmits claims as needed.
Conducts root cause research for denied or unpaid claims.
Uses insurance portals and phone outreach to follow up on claim status.
Bills work-in-progress secondary and tertiary insurance when applicable.
Reviews remittance advice for underpayments or payment discrepancies.
Escalates recurring payer issues or delays to supervisors as needed.
Initiates & maintains patient AR follow-up for overdue balances per internal protocols.
Coordinates payment arrangements or flag accounts for further collection activity.
Conducts ledger audits contract corrections and AR adjustments with policy alignment.
Responds to practice-level inquiries via email or ticketing system in a timely and professional
manner.
Supports Cloud9 optimization and contribute feedback to improve workflows.
Meets assigned productivity benchmarks and team performance goals.
Expected to work all scheduled days and hours and to report to work on time.
Embraces NADGs values culture and Core 3: People First Access to Care and Cost
Containment.
Supports the NADG Care Cycle and prioritizes delivering best-in-class patient care.
Other duties as assigned.
Experience/Requirements
Minimum of 2 years in dental revenue cycle including claims billing and patient collections.
Proficiency in Microsoft Office Suite.
Familiarity with insurance portals and eligibility/claim inquiry tools.
Knowledge of insurance payer guidelines and AR workflows.
Experience with Cloud 9 or other orthodontic software preferred.
Knowledge Skills and Abilities (KSAs)
Attendance & Reliability: Arrives to work on time; dependable punctual and demonstrates strong
time management skills.
Cooperation & Teamwork: Works respectfully and effectively with colleagues; contributes
meaningfully to help the practice achieve its goals.
Communication Skills: Demonstrates clear organized and effective written and oral
communication; exhibits strong listening and comprehension abilities.
Customer Service: Provides professional helpful and high-quality service to both internal and
external customers addressing patient needs effectively.
Leadership & Decision-Making: Makes thoughtful well-reasoned decisions; demonstrates
resourcefulness and creativity in problem-solving.
Initiative & Flexibility: Takes initiative by seeking additional responsibilities; identifies problems
and proposes solutions; adapts well to new challenges and unexpected changes.
Knowledge & Expertise: Possesses a strong understanding of the information processes and
procedures necessary to perform the role effectively.
Technical Capabilities: Performs job responsibilities with attention to detail consistency
productivity and efficiency in alignment with company and industry standards.
Digital Dentistry: Demonstrates knowledge of digital equipment and software used in the practice
including Open Dental Primescan Overjet and others.
Education/Certifications
High school diploma or equivalent
Additional education or certifications in billing/coding preferred.
Physical/Environmental
This is a sedentary role requiring prolonged periods of sitting and regular use of a computer and
other standard office equipment.
Requires frequent talking hearing and visual acuity for computer work and communication.
May occasionally be required to lift items weighing up to 30 pounds.
Work is performed in a private home office environment.
Occasional travel may be required.
#NADG3
Required Experience:
IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
About Company
North American Dental Group is Pioneering a new culture of dentistry. Learn about our vision, mission and explore our dental partnerships and careers.
