Research patient and insurance credit balances to determine refund eligibility.
Validate overpayments and process accurate refunds within established timelines.
Collaborate with internal teams and insurance carriers to resolve account discrepancies.
Specialty Dental Brands is a dental support organization that partners with pediatric dentistry, orthodontic, and oral surgery practices across the country to provide technology, resources, and support. The company fosters a collaborative, people-first culture with a focus on teamwork and continuous learning.
Collect, verify, and submit information necessary for enrollment of hospitals/physicians with Out-of-State Medicaid payers.
Develop and maintain ongoing policies and procedures specific to each state for new hospital/physician enrollments.
Manage work queue to ensure all timely submissions and deadlines of payor-specific forms and documents.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM platform. The company is a multi-year recipient of the Top Workplaces award, recognized as Black Book's #1 Specialty Revenue Cycle Management provider in 2024, and has been among the top one percent of Inc. 5000 fastest-growing private companies for eleven years.
Review optical orders for eyeglasses and contact lenses to ensure accurate data transfer between systems.
Enter and update payments, discounts, and billing details, processing approximately 130 orders per day.
Identify discrepancies, double-check calculations, and coordinate with the billing team to resolve issues.
Our client is a leading ophthalmology clinic based in Texas with 17 locations and over 50 doctors. They are committed to employee fulfillment and career growth, guided by core values: integrity, respect, empathy, accountability, compassion, and honesty.