As an Insurance Collections Lead, you'll have a key role in creating positive patient experiences using our innovative G3 approach (Greeting, Guiding, Gratitude). You'll help patients feelwelcome and supported whether they are coming in for treatment or calling to schedule an appointment. You will also assist them with financial arrangements for treatment. Learn more about G3 from our CEO, Steve Bilt.

• Calling insurance carriers or any other practical research resources to verify if a claim has been received and what the outcome paid and/or denial reason is
• Contacting and following up with insurance company representatives
• Updating all patient accounts to correct inaccurate information i.e. demographics, eligibility dates, termination dates and contract allowance and/or maximum
• Managing the workflow of assigned accounts and meeting deadlines for filing to obtain maximum reimbursements. Monitoring collections activity for timely payment from all revenue sources
• Understanding and staying informed of changes with procedures, billing guidelines and laws for specific insurance carriers or payers
• Following up on any overdue accounts and researching accounts to determine why the balance remains unpaid
• Auditing insurance claims to identify and provide required attachments and auditing attachments for completeness and suitability
• Working zero paid or partial paid Explanation of Benefit (EOB) and take action to appeal or properly adjudicate claims
• Ensuring claim submissions for secondary coverage is within timely filing limits
• Ensuring responses to claim inquiries and tracing is within timely filing limits
• Conducting full patient account audits to determine appropriate action
• Ensuring all dental billing/collection letters are prepared and mailed according to the set schedule

• 2 year of previous experience in medical or dental billing, with a focus on insurance claims processing and collections
• Strong attention to detail and accuracy, with the ability to review EOBs and identify billing discrepancies
• Pleasant and professional phone etiquette
• Must possess excellent customer service skills
• Detail oriented, organized, and can work with little supervision

• Experience working within the dental industry
• Dental software experience with QSI
• Experience with healthcare insurance programs

Compensation Range: $20.00 - $22.00 per hour

Smile Brands supports nearly 700 affiliated dental offices across 30 states all focused on a single mission of delivering Smiles For Everyone! Smiles for patients, providers, employees, and community partners. Everyone. Our entire culture is designed to promote WIN-WIN relationships by treating people with respect and pursuing business process excellence that makes it easier to provide great patient care. Our growing portfolio of affiliated dental brands and practice models range from large regional brands to uniquely branded local practices. This role is associated with the affiliated dental office listed at the top of the job posting on our career site.

Smile Brands Inc. and all Affiliates are Equal Opportunity Employers. We celebrate diversity and are committed to providing an inclusive workplace for all employees. We are proud to be an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, creed, gender (including gender identity and gender expression), religion, marital status, registered domestic partner status, age, national origin, ancestry, physical or mental disability, sex (including pregnancy, childbirth, breastfeeding or related medical condition), protected hair style and texture (The CROWN Act), genetic information, sexual orientation, military and veteran status, or any other consideration made unlawful by federal, state, or local laws. If you would like to request an accommodation due to a disability, please contact us at ...@smilebrands.com