The Senior Remittance Specialist is responsible for accurate insurance payment posting, reconciliation, and managing ERA processing. Additionally, the role serves as a subject matter expert to lead new hire training, maintain SOPs, and drive process optimization.
The role involves developing and maintaining instructional training materials for both instructor-led and e-learning formats using established instructional systems design methodologies. Additionally, the incumbent will facilitate training sessions, assess learning needs, and collaborate with subject matter experts to improve training program effectiveness.
The specialist manages payor-initiated audits, oversees delegated credentialing, and ensures data integrity for provider enrollment and billing systems. They also develop policies, controls, and reporting to mitigate compliance and revenue risks across the organization.
The analyst is responsible for building, updating, and managing high-volume dental insurance fee schedules across multiple platforms and providers. They will also investigate fee discrepancies, resolve support tickets, and collaborate with cross-functional teams to ensure billing accuracy.
