Jefferson Dental & Orthodontics is seeking a Credits and Refunds Specialist to perform reviews and audits within the Revenue Cycle Department. The Credits and Refund Specialist is primarily responsible for monitoring and resolving patient and insurance credit activity as well as refund request letters received from governmental and commercial carriers. This individual reviews the specifics regarding charges, accuracy of reimbursement to expected reimbursement and how that payment was posted to the billing system to determine if a true credit exits. If a refund is required, the Credits and Refund Specialist will perform the appropriate steps in the billing system to generate the refund.

Job Duties include but are not limited to, analyzing all credit balances both patient and insurance, process patient and insurance refunds. They will perform other duties as assigned.

Responsibilities:

· The Credit and Refunds Specialist looks for trends that exist and the root cause for credits and works with the appropriate parties to minimize refunds.

· Make posting corrections as necessary

· Determine the correct course of action to resolve the refund request or credit balances

· Utilizes all available resources (EOBs, payor websites, Availity, Dentalxchange) to ensure refunds/take-backs (recoupments) are adjudicated correctly

· Notifies payor representative to initiate recoupment, and provides supportive documentation as required to the payor representative

· Provides all required documentation necessary for refund approval to accounting for patient or insurance reimbursement

· Updates billing system to ensure that refunds/take-backs are properly documented

· Daily focus on attaining productivity standards, recommending new approaches for enhancing performance and productivity when appropriate

Qualifications:

· Excellent written, verbal communication and interpersonal skills

· High School graduate or equivalent

· Excel, Word, Outlook

· 2+ years prior related credit balance resolution, required

· Basic understanding of credit and refund guidelines

· Prioritize and manage multiple tasks simultaneously

· Effectively anticipate and respond to issues as needed in a dynamic work environment

About Jefferson Dental & Orthodontics:

Since opening our first office in Dallas, Texas in 1967, Jefferson Dental & Orthodontics has been a trusted oral healthcare provider for thousands of families with 70+ offices throughout Texas and Oklahoma. In 2019, we further solidified our connection to the Dallas-Ft. Worth community by becoming the Official Dentist of the Dallas Mavericks. Go Mavs!

By combining compassionate, skilled providers, the latest technology and a fully integrated approach to oral healthcare, Jefferson Dental & Orthodontics is paving the way for industry evolution focused on patient-first care.

We’re on a fast track to becoming the best dental practice in the industry - our ultimate goal. There’s never been a more exciting time to join Team JDO! If you’re a highly motivated, caring, self-starter who wants to take their career to the next level, let’s talk!

There are four key traits we look for in every single person who joins our team.

• They are happy and positive.

• They truly care.

• They are eager and willing to learn.

• They are patient-experience-obsessed.

Hiring people with these traits helps us grow and serve our patients by living out our brand purpose: Our Care Changes Peoples’ Lives. JDO employees who exhibit these traits have no limit on their potential - the growth opportunities are endless!

Benefits

•Comprehensive benefits including Medical, Dental, Vision, Disability, Life, 401(k) and more

•Pay starting at $20.00 per hour

•Dental insurance

•Health insurance

•Paid time off

•Vision insurance
•Monday to Friday 8-4:30pm

Job Type: Full-time

Pay: From $20.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Physical setting:

• Office

Schedule:

• Monday to Friday

Ability to commute/relocate:

• Carrollton, TX 75006: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Accounting: 1 year (Preferred)
• Microsoft Excel: 1 year (Preferred)

Work Location: In person

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