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CBO Specialist
- Affordable Care (NC)
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Position Summary:
Accounts Receivable Specialists are responsible for working all opens claims over the time frame stipulated by management. The Specialists is responsible for taking all necessary steps needed to status the claim and get the claim paid.
This is a remote position.
**Position Duties and Responsibilities** :
+ Working all claims over a certain time frame. This time frame could change as time goes on so we will communicate within the team what parameters we need to stick with.
+ Status all open claims and do the work either via the portal or making phone calls to see why the claims are not paid.
+ RCM team is responsible for doing every step possible to complete a claim and get it paid. We will ONLY turn the claim back to the office if we cannot complete the claim.
+ If a claim needs to be re-submitted then the RCM Specialist working the AR report will be responsible for submitting the claim with all needed attachments and information needed. Do not leave the claim for someone else to submit.
+ Communicate with the offices effectively and send completed reports to the offices so they will know what they are responsible for working and what our team has assisted them with.
Qualifications
+ Ability to interpret and effectively communicate insurance regulations.
+ Excellent verbal and written communication skills.
+ Excellent problem-solving skills.
+ Well organized, accurate, and thorough.
+ Adaptable; readily adjusts work schedule to adhere to changes in the work environment and is able to manage competing demands.
+ Proficiency in all Microsoft Office products.
Education and Experience Requirements:
+ HS Diploma degree required; advanced degree preferred.
+ Minimum three-five years commercial insurance or Medicaid experience preferred.
+ Experience in medical or dental practice preferred.
Computer Skills:
+ Proficiency in a Microsoft Windows environment.
+ Proficiency with dental or medical software; Dentrix preferred.
**Core Competencies:** To perform the job successfully, an individual should demonstrate the following competencies to perform the essential functions of this position.
+ High level of customer service orientation.
+ Ability to assess development needs of affiliated auxiliary practice staff.
+ Knowledgeable in creating and presenting training course material.
+ Must possess strong skills in the areas of interpersonal communication, analysis, critical thinking, attention to detail, multi-tasking, and oral & written communication.
+ Excellent verbal and written communication skills.
+ Ability to work independently and collaboratively within a team environment.
Job Details
Pay Type** **Hourly
Travel Required** **No
Hiring Min Rate** **20 USD
Hiring Max Rate** **21.75 USD
Job Category** **Corporate
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