Ambulatory Anesthesia Care is seeking to hire a dedicated full-time remote revenue cycle team member who thrives in the dynamic pace of the revenue cycle, particularly as a biller, and values teamwork..
About AAC: We're a dynamic practice management organization supporting Ambulatory Surgery Centers and Office-Based Anesthesiology practices across Illinois, Texas, Washington, and Oregon.
Responsibilities: As a key team member, your primary duties will include:
- Review, prepare, and submit claims for dental anesthesia services.
- Ensure claims are coded and billed accurately using applicable CPT, ICD-10, CDT, HCPCS, and modifier requirements.
- Monitor claim status and resolve claim edits, rejections, and clearinghouse issues.
- Identify and escalate issues that could impact timely claim submission or accuracy to the Revenue Cycle Manager promptly.
- Work claims through the revenue cycle from submission to final resolution.
- Maintain payer-specific billing requirements and submission guidelines.
Accounts Receivable and Denial Management
- Perform follow-up on unpaid, denied, and underpaid claims.
- Investigate reimbursement discrepancies and payment variances.
- Collaborate with Operations, Credentialing, Contracting, and Revenue Cycle teams to address reimbursement challenges.
- Prepare and submit appeals, reconsiderations, and supporting documentation.
- Analyze Explanation of Benefits (EOBs) and remittance advice statements.
Dental Billing and Reimbursement Expertise
- Serve as AAC's internal resource for dental anesthesia billing and reimbursement questions.
- Research payer policies related to dental anesthesia services, oral surgery procedures, sedation, and medical necessity requirements.
- Evaluate billing pathways involving commercial medical carriers, Medicaid programs, and dental administrators.
- Maintain expertise in dental and medical benefit coordination.
Qualifications: To be considered for this role, candidates should possess:
Technical Experience
- Minimum of 3 years’ dental anesthesia experience, oral surgery, or medical billing experience with substantial dental exposure.
- High school diploma or equivalent required.
- Associate’s degree in healthcare administration, business, or related field preferred.
- Working knowledge of CDT and CPT coding, including dental-to-medical cross-coding.
- Knowledge of dental and medical billing processes, payer requirements, and claims adjudication.
- Familiarity with anesthesia billing concepts, including base and time units, preferred.
- Coding or billing certification (CPC, CPB, CDC, or similar) preferred.
General Skills & Knowledge
- Ability to manage multiple assignments, set priorities, and meet tight deadlines.
- Strong attention to detail and accuracy.
- Proficiency with Microsoft Office Suite (Outlook, Word, Excel).
- Comfortable using and navigating multiple systems including EMRs, dental practice management systems, and payer portals.
- Comfort working through evolving or inconsistent payer guidance across multiple states.
- Strong verbal and written communication skills.
Competencies (Core Skills)
- Attention to Detail: Ensures accuracy in claims preparation and submission.
- Communication: Effectively interacts with payers, patients, dental practices, and internal teams.
Working Hours: This position requires availability during CST operating hours, preferably 8 am ET – 4:30 pm CST. AAC will provide the selected candidate with a laptop and necessary IT supplies for secure remote work.
Our Expectations: At AAC, our values include caring, integrity, adaptability, collaboration, and tenacity. We seek team members who not only excel in specific tasks but also demonstrate a commitment to doing their best every day. Join our team for an opportunity that goes beyond a typical job description. We expect you to bring your best to work each day, not just for yourself but for the success of the entire team. Ready to make a meaningful contribution? Apply today and become a valued member of our team! We look forward to meeting you!
Keywords: revenue cycle, collections representative, billing, collections specialist, anesthesia billing, a/r, accounts receivable, work from home, remote work from home, healthcare, medical collections, hiring immediately.
