RCM Insurance AR and Posting Specialist (Dental Billing) locations U.S. Telecommuters time type Full time job requisition id JR00119650 Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.   Job Description: FULLY REMOTE OPPORTUNITY The Insurance A/R & Posting Specialists are responsible for a variety of tasks within the Accounts Receivable (AR) and Revenue Cycle Management (RCM) processes. This includes managing rejections, billing, help desk inquiries, AR follow-up, posting payments, and credit balances. These roles will work within a pod structure, where staff will be assigned specific tasks and rotate through the pods at different times. Cross-training is a key part of this structure, and team members will be responsible for filling in for others as needed, ensuring continuity and consistency of the work. How you will contribute: Claims Follow-Up: Review and follow up on outstanding claims to ensure timely reimbursement. Contact insurance companies, payers, and patients to resolve any discrepancies, denials, or underpayments. Denial Management: Investigate claim denials, determine reasons for non-payment, and follow up with the payer to resolve and appeal when necessary. Billing: Oversee billing activities, ensuring accurate and timely submission of claims to payers, and address any billing discrepancies. Rejections: Identify, investigate, and resolve claim rejections promptly to ensure the timely processing of payments. Help Desk: Provide support and respond to internal and external inquiries regarding billing issues, claim statuses, and account discrepancies. AR Follow-Up: Manage follow-up on outstanding accounts receivable, ensuring timely resolution of overdue claims and facilitating effective communication with payers. Posting: Accurately post payments and adjustments to patient accounts and insurance claims. Credit Balances: Identify and resolve credit balances on accounts, ensuring they are handled promptly and according to company policy. Cross-Training: Willingness to cross-train in all functions of RCM, including but not limited to billing, refunds, collections, and other processes, to support team flexibility and efficiency. Process Improvement: Assist in identifying and implementing process improvements to streamline the AR and billing functions. Collaboration: Work closely with other members of the RCM team to ensure timely and effective resolution of claims, share knowledge on payer issues, and improve overall processes. What you will bring with you: - High school diploma or equivalent - Minimum of 3 years of experience in accounts receivable, dental billing, or a related field is required - Experience in a dental or healthcare environment, ideally within a Dental Service Organization (DSO) or similar multi-location setting. - Strong knowledge of insurance billing, payment procedures, and AR processes. - Knowledge of payer guidelines and claims appeals processes. - Familiarity with dental practice management systems, such as Dentrix or similar PMS platforms. - Ability to navigate payer portals, insurance company websites, and databases. - Excellent communication and negotiation skills to resolve issues with insurance payers. - Strong attention to detail and organizational skills. $43,100 - $58,200 At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions.  Not ready to apply yet but want to stay in touch?   Join our talent community to stay connected until the time is right for you!  We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive.  We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate.  We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.  Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account.  Enjoy a flexible, inclusive and collaborative work environment that supports career growth.  We’re proud to be recognized in our communities as a top employer.  Proudly Great Place to Work® Certified in Canada and the U.S., we’ve also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row.  Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email thebrightside@sunlife.com to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Finance

Role Description The Medical Insurance Accounts Receivable Specialist is responsible for ensuring the timely collection of outstanding government or commercial healthcare insurance receivables. - Verifies or obtains patient eligibility and/or authorization for healthcare services performed by searching payer web sites or client eligibility systems, or by conducting phone conversations with the insurance carrier or healthcare providers. - Updates patient demographics and/or insurance information in appropriate systems. - Conducts research and appropriately statuses unpaid or denied claims. - Monitors claims for missing information, authorization, and control numbers (ICN//DCN). - Researches EOBs for payments or adjustments to resolve claims. - Contacts payers by phone or through written correspondence to secure payment of claims. - Accesses client systems for information regarding received payments, open claims and other data necessary to resolve claims. - Follows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems. - Secures medical documentation as required or requested by third party insurance carriers. - Obtains billing guidelines and requirements by researching provider billing manuals. - Writes appeal letters for technical appeals. - Verifies accuracy of underpayments by researching contracts and claims data. - In the event of an authorization, coding, level of care and/or length of stay denial, prepares claims for clinical audit processing. - Supports Savista Compliance Program by adhering to policies and procedures pertaining to HIPAA, FDCPA, FCRA, and other laws applicable to Savista business practices. Qualifications - High school diploma or GED. - At least three years of experience in healthcare insurance accounts receivable follow up, working with or for a hospital/hospital system, working directly with government or commercial insurance payers. - Experience identifying billing errors and resubmitting claims as well as following up on payment errors, low reimbursement and denials. - Experience reviewing EOB and 1500 forms to conduct A/R activities. - Knowledge of accounts receivable practices, medical business office procedures, coordination of benefit rules and denial overturns and third-party payer billing and reimbursement procedures and practices. - At least three years of experience with accounts receivable software. - Experience navigating payer sites for appeals/reconsiderations, benefits verification and online claims follow up with Medicare and Medicaid insurance background. - Demonstrated ability to navigate Internet Explorer and Microsoft Office, including the ability to input and sort data in Microsoft Excel and use company email and calendar tools. - Demonstrated experience communicating effectively with payers, understanding complex information and accurately documenting the encounter. - Ability to work effectively with cross-functional teams to achieve goals. - Demonstrated ability to meet performance objectives. - Productivity requirements are 55 claims per day/275 claims per week. Requirements - Experience with Epic - Required. - Experience with both hospital (facility) and physician (pro-fee) A/R. Benefits - Salary range for this role is from $19.00 to $21.00, varying based on geographic location, candidate experience, applicable certifications, and skills. Company Description SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class. California Job Candidate Notice

Role Description Remote Accounts Receivable Specialist Starting at $45,760 up to $52,975/year depending on experience, higher education and licensure. Are you interested in using your Accounts Receivable skills to support the individuals served at a leading behavioral health organization? If so, consider applying to Devereux Advanced Behavioral Health! As an Accounts Receivable Specialist at Devereux, you will work with a team of dedicated professionals who share your passion for working for an organization where their work contributes to our mission and helps individuals in need. - Responsible for billing and managing individual accounts receivable by funding source, by client. - Maintains current, accurate computerized client accounts and supporting hard copy files. - Bills payors and funding agencies in an accurate and timely manner, in accordance with established procedures. - Ensures timely payment of bills with accurate application to client accounts. - Applies extensive and intensive follow-up techniques in order to collect on aged accounts. REPORTS TO: Client Accounts Receivable Manager Qualifications - Must be at least 21 years or older. - Associates degree in finance or related degree required. - 1-2 years experience in AR required. - Must have experience with Excel, great communication skills, and EHRs. Requirements - Associates degree in Business Administration, Accounting or equivalent experience preferred. - Knowledge of Pennsylvania Medicaid, Health Choices, and other third-party billing processes. - Experience with Excel, automated billing systems, and electronic health records. - Excellent customer service, written communication, and problem-solving skills. - Analytical with the ability to put processes together and have strong attention to detail and accuracy. - Ability to prioritize, coordinate and simultaneously maintain multiple projects with high level of quality and productivity. Benefits - Devereux is proud to offer ASCEND – the first career accelerator program exclusively designed to give behavioral healthcare workers the career guidance, one-on-one coaching, skills, and financial assistance you need to reach your full potential. - This program includes 100% of tuition covered (up to $15k reimbursed annually for undergraduate and $25k reimbursed annually for graduate) and student loan repayment! - In addition to a competitive salary, Devereux provides a comprehensive health and welfare program to eligible full-time employees, family members, and domestic partners. - Eligible employees are eligible to start benefits after 30 days of employment. - Medical (including telemedicine via phone, web, app), dental, prescription drug, preventative care, and mental health services. - Student loan debt assistance, tuition reimbursement, and continuing education assistance. - Generous time-off (start accruing 1st day), 403(b) retirement plan with matching benefit, and voluntary/employee paid supplemental life and accident coverage. - Employee assistance / work-life balance program.

• Performs all follow-up and denial activities. • Responsible for following up directly with commercial, governmental, and other payers to resolve claim payment issues. • Identifies trends in denied payments by insurance companies. • Mentors AR Specialist team members to help develop skills in follow up, denials, and appeals process. • Communicates directly with payers to follow up on outstanding claims and ensures timely and accurate reimbursement. • Maintains a thorough understanding of federal and state regulations.