Rock Dental Brands
Orthodontic Medicaid Specialist - Rock Dental Brands
Little Rock, AR
Sponsorship not specifiedDetected 8 days ago
CollaborationProblem SolvingAccounts Payable
About the role
- It's fun to work in a company where people truly BELIEVE in what they're doing!
- We're committed to bringing passion and customer focus to the business.
- Looking for a new career that impacts lives by creating smiles for a lifetime?
Responsibilities
- Manage the end-to-end prior authorization process for Medicaid orthodontic procedures, including accurate submission of clinical documentation and follow-ups.
- Maintain detailed, accurate documentation in practice management software for all A/R activities and appeal statuses.
- Conduct internal audits to ensure billing accuracy, maintain strict adherence to Medicaid compliance standards, and support compliance and revenue integrity projects to identify and resolve recurring financial issues.
- Collaborate with clinic staff to provide feedback on billing errors and audit A/R aging reports to identify trends in denials.
Requirements
- Experience with dental Medicaid billing, prior authorizations, and the appeals process.
- Strong knowledge of dental terminology and CDT coding as it relates to Medicaid requirements.
- Proficient in practice management softwares and insurance portals
- Excellent analytical and problem-solving skills with high attention to detail.
- Key Competencies:
- Operational excellence in Medicaid A/R management.
- Accountability and self-motivation.
- Success Metrics:
- Reduction in Medicaid denial rate.
- Timely authorization processing and reimbursement cycle.
Benefits
- Flexible health insurance options.
- Paid time off and paid holidays.
- Rock Dental Brands has an exciting opportunity for a talented and self-motivated individual to become a member of our team.
- The Orthodontic Medicaid Specialist is responsible for managing and overseeing the Medicaid accounts receivable (A/R) lifecycle for our dental clinics.
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This listing is sourced directly from Rock Dental Brands's careers page and normalized into a canonical job model.