Sr. Payment Account Manager

At Gen4 we pride ourselves on our commitment to providing an incredible patient experience. We are passionate about our craft and the impact we can have on our patients. We aim to foster a doctor-centric organization that allows our doctors to do more of what they love. Culture high performance growth and development are deeply embedded in our business and we have our sights set on finding individuals who are excited to be a part of a growing flourishing company like offer competitive pay and a comprehensive benefits package available on the 1st of the month after 30 days of employment for full-time employees. 

To learn more about us check out our website here: Description 

We are seeking an experienced Sr. Payment Account Manager to join our dynamic team. The ideal candidate will have a minimum of 5 years of experience in dental payment posting and accounts receivable follow-up. This role is essential as we create and restructure a payment posting department within RCM.  This individual is responsible for ensuring accurate and timely posting of payments and effective management of outstanding accounts.  

Provides accurate payment posting to accounts analyzes accounts for proper reimbursement and allocation of revenue. Identifies issues with payments for follow-up by RCM Account Managers. Reconciles and audits accounts for insurance and patient credits. Our Payment Account Manager posts payments received within 72 hours. Must be able to read an EOB. This position requires an individual with experience in patient billing excellent customer service skills attention-to-detail and the ability to multi-task while maintaining a professional demeanor. 

Job Highlights 

• Work with Sr. Leadership to create the infrastructure to support payment posting of insurance claims ensuring patient statements are sent monthly patient ledgers are audited for credit and refunds are issued as needed. 

• Manage a team of Patient Account Managers and ensure payments are posted timely and accurately. 

• Accurately post insurance payments adjustments and denials to patient accounts to ensure accurate account balances. 

• Post payments received daily within 72 hours; verify all EFT deposits and scanned checks have been posted by month end. 

• Identify any payments not being paid at the allowed/contracted amount; work closely with RCM Account Managers and Sr. RCM Manager for payment discrepancies. 

• Monitor daily reports to achieve accuracy and timeliness in bank deposits. 

• Ability to interpret and apply the Explanation of Benefit (EOB) summary from payors as it relates to posting payments and issuing refunds; accurately submit refunds. 

• Reconcile payment discrepancies and resolve posting errors in a timely manner. 

• Monitor and report on accounts receivable aging denied claims identifying trends and areas for improvement. 

• Record batch totals with date and initials on payment batch reconciliation. 

• Properly communicates and documents payment denials in the practice management system. 

• Make notes in patient accounts as to action taken to resolve problems and respond to inquiries. 

• Ensure patient ledgers are accurate; audit credits and issue patient refunds as needed. 

• Once Insurance payments have been received and posted close outstanding claims.  Send patient statements upon closing claim (same day). If the patient has secondary insurance before closing claim submit claim to secondary insurance. 

• Send monthly patient statements including Text to Pay. 

• Work with Office Managers to identify and approve patient accounts to be sent to Collection agency.  

• Ensure all payors are set up with EFT for reimbursement. 

• Set up electronic statements vs paper statements for patients. 

• Must adhere to all HIPAA guidelines and regulations. 

Qualifications 

• Minimum of 5 years of experience in dental payment posting and accounts receivable follow-up. 

• Must be able to post $500k in a month 

• Candidates must be able to work with high volume of work while maintaining attention to detail and accuracy. 

• Proficient in computer skills required including billing software and PMS systems. 

• Strong knowledge of insurance reimbursement processes dental terminology and accounts receivable management. 

• Must be able to read and understand EOBs. 

• Experience with patient and insurance refund processing and calculations. 

• Ability to work independently and meet deadlines as part of a team in a fast-paced environment. 

• Excellent organizational and time management skills. 

• High school diploma or equivalent 

Additional information 

Working conditions include those typically seen in an office environment. Prolonged periods of sitting at a desk and working on a computer. Must be able to lift to 15 pounds at times. Travel requirement is limited. 

Equal Opportunity Employer 

Gen4 Dental Partners provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race color religion age sex national origin disability status genetics protected veteran status sexual orientation gender identity or expression or any other characteristic protected by federal state or local laws. 

Job Type: Full-time 

Benefits: 

• 401(k) 

• Dental insurance 

• Health insurance 

• Paid time off 

• Vision insurance 

Work Location: Remote 

Remote Work :

Yes

Employment Type :

Full-time