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Macomb Dental Group

Dental Accounts Receivable (A/R) Specialist Multi-Location

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Job Description

Dental Accounts Receivable (A/R) Specialist - Multi-Location Macomb Dental Group Sterling Heights, MI Job Details Full-time $19 - $22 an hour 1 hour ago Qualifications Teamwork Medicare Dental insurance HIPAA Insurance medical billing Attention to detail Organizational skills Medical explanation of benefits reviews Medical claims submission Medicaid Medical billing account reconciliation Payment reconciliation Open Dental Patient collections management Full Job Description Position Summary We are seeking a highly organized, detail-oriented Dental Accounts Receivable (A/R) Specialist to support the billing, claims, insurance, and A/R workflows across our three growing dental practice locations . The ideal candidate will have a minimum of 3 years of hands-on dental billing experience, including extensive Medicaid dental billing , and advanced proficiency with Open Dental . This position is initially focused on A/R backlog remediation, account cleanup, and short-term revenue cycle stabilization . Based on performance, organization, and the ability to successfully manage the workload, this role has the potential to transition into a permanent full-time position . The A/R Specialist will be responsible for working accounts from claim submission through final payment , identifying outstanding balances, resolving insurance issues, correcting account errors, and helping improve overall collections. Key Responsibilities Claim Management Prepare, review, and submit daily electronic and paper claims for all three locations. Ensure claims are complete and accurate before submission. Verify clinical notes, provider signatures, procedure codes, and required documentation. Attach necessary X-rays, narratives, and supporting documentation. File and track insurance claims daily. Follow up on rejected, denied, delayed, and outstanding claims. A/R & Insurance Aging Analyze and work the insurance A/R aging reports, including 30/60/90+ day accounts . Identify accounts that can be resubmitted, appealed, corrected, or otherwise resolved. Research unpaid and underpaid claims. Contact insurance companies and Medicaid representatives to resolve outstanding issues. Maintain detailed documentation of all insurance communications and account activity. Identify recurring issues contributing to billing delays or outstanding A/R. Complete assigned A/R cleanup projects within established deadlines. Escalate unresolved or systemic issues to management. Insurance Payment Posting & Reconciliation Accurately post insurance payments, EFTs, virtual credit cards, and other insurance payments into Open Dental. Review and interpret EOBs and ERAs. Reconcile insurance payments to patient accounts. Identify and correct payment posting errors. Properly apply contractual adjustments, write-offs, and patient portions. Research and resolve unposted EFTs and insurance payments. Work with insurance companies regarding refunds and overpayments. Assist with daily deposit and payment reconciliation. Patient Accounts Maintain accurate patient account balances. Research account discrepancies and billing errors. Resolve credit balances and payment posting issues. Assist with patient billing questions when needed. Ensure patient balances are accurately reflected after insurance processing. Insurance Information & Documentation Update insurance carrier notes and coverage tables. Maintain accurate insurance information in Open Dental. Document insurance communications and claim follow-up. Ensure account documentation is organized and audit-ready. Maintain patient confidentiality and comply with HIPAA requirements. Required Qualifications Minimum 3 years of dental A/R, dental billing, patient accounting, or related experience . Minimum 3 years of hands-on dental Medicaid billing experience . Minimum 3 years of daily Open Dental experience . Advanced/expert-level proficiency with Open Dental is required. Experience working dental insurance claims from submission through payment. Strong understanding of dental insurance billing and reimbursement. Knowledge of CDT procedure codes . Understanding of coordination of benefits (COB) and dual-insurance rules. Experience working insurance aging reports and outstanding claims. Experience with payment posting, EOBs/ERAs, EFTs, adjustments, and reconciliations. Experience working across multiple dental locations is strongly preferred. Preferred Experience Experience resolving credit balances and insurance refunds. Experience correcting billing and payment posting errors. Experience with PPO, Medicaid, and Medicare billing processes. Experience with A/R cleanup and backlog reduction. Experience identifying trends and recurring causes of unpaid claims. Experience working independently with minimal supervision. Core Competencies Analysis & Problem Solving Attention to Detail Strong Organizational Skills Ability to
Work Independently Accountability & Follow-Through Confidentiality Strong Work Ethic Teamwork Time Management Clear Communication Pay:
$19.00 - $22.00 per hour Expected hours: No less than 30.0 per week
Work Location:
In person

Benefits

  • Dental Insurance