Revenue Cycle Dental Biller (Anesthesia)

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.