Job Description
Position: Revenue Cycle Management Specialist
Salary Range: $1,000 - $1,700
Working Hours & Time Zone: 8:00 AM -5:00 PM, CST M-F
Responsibilities
Credentialing:
- Complete and process provider applications.
- Maintain accuracy and completeness of provider data in our database.
- Communicate effectively with the Swish team throughout the credentialing process,
- addressing inquiries and concerns.
- Proactively follow up on application statuses and missing information.
Billing and AR:
- Review all aspects of the revenue cycle process for the dental practice, including
- insurance verification, claims submission, payment posting, and accounts receivable follow-up.
- Utilize practice management software to enter data, prepare reports and ensure
- accuracy in entries
- Collaborate with our team to optimize billing processes and improve patient
- satisfaction
- Investigate and resolve denied, delayed, or underpaid claims.
- Monitor and track accounts receivable aging to ensure timely collection and follow-up on overdue accounts.
- Analyze claim denials and communicate root causes to the Swish team.
- Research and gather missing information needed for claim processing.
- Collaborate with dental providers and staff to gather necessary documentation and information for claims processing.
- Handle appeals for denied claims, supporting providers with documentation and
- justification.
- Track claim progress and proactively update the Swish team on status.
- Maintain detailed records of all follow-up activities and claim outcomes.
SKILLS 
