Job Details
Level Experienced
Job Location Espire Dental - PSC - Greenwood Village, CO
Position Type Full Time
Education Level Not Specified
Salary Range $23.00 - $30.00 Hourly
Job Shift Day
Our growing dental team transforms lives one smile at a time, and we want you to join us!
The Espire Experience brings out the best in people through moments of pride, joy, and trust. We promise to deliver high quality, innovative care for our patients and team members in a warm, personalized environment. The soul of our practice is the beauty we make and the confidence we create, and we continuously change lives for the better.
If you believe that joy is a state of being, that leaders inspire others to dream more, learn more, and become more, and we all grow when we face and overcome challenges, Espire Dental is the place for you!
The Insurance Specialist will be the in-house insurance expert on plan details, provider credentialing and provider licensure. This role will have a heavy focus on RCM functions such as claim submission, verifications, insurance payment posting, insurance AR, and patient AR. The Insurance Specialist will impact results by delivering the Espire mission to team members and patients by living joyfully, leading bravely, and creating greatness.
Responsibilities:
Manage all insurance payor relationships
Provide strategic analysis on insurance plan utilization
Ensure all providers are appropriately credentialed
Manage all provider malpractice enrollment
Track all provider licensure
Input all fee schedules
Provide support on local market fee analysis
RCM functions including but not limited to, insurance plan strategy, claims management, insurance payment posting, insurance verifications, and claims and patient aging reports
Support our group of practices in California, Colorado, Wyoming, Texas, Washington and Oklahoma in all functions RCM
Additional Responsibilities:
Assist our credentialing division in managing all insurance payor relationships
Assist our credentialing division in provide strategic analysis on insurance plan utilization
Ensure all providers are appropriately credentialed
Manage all provider malpractice enrollment
Track all provider licensure
Input all fee schedules
Provide support on local market fee analysis
Qualifications
Education/License Requirements:
High school diploma or GED, required
Bachelor's Degree in Business or related field, or equivalent experience, preferred
Experience Requirements:
5+ years' experience in the dental insurance field, required
Skills Requirements:
Expert level knowledge in dental insurance
Proactive problem solving
Analytical approach to providing recommendations
Strong organizational skills
Understanding of compliance and regulatory standards pertinent to scope of activities of job
Ability to work in a team environment required
Excellent coaching skills
Physical Requirements:
Level 1: A combination of sitting, standing and walking with little requirement for physical effort. There may be a requirement to exert light physical effort for short periods.
Supervisory Responsibilities:
No supervisory responsibility.
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