JOB OVERVIEW: The Patient Accounts Specialist is responsible for resolving a significant backlog of unreconciled patient accounts across multiple dental practices and establishing a sustainable, accurate billing cycle. This role is critical to correcting historical ledger discrepancies, initiating consistent patient statement billing, and driving measurable improvement in the Patient Collection Rate.
REPORTS TO: VP Of Revenue Cycle Management
SCHEDULE: This position requires a flexible schedule that may require extended hours as business requires – including evenings and weekends.
FLSA STATUS: Exempt
QUALIFICATIONS
- 2+ years of experience in dental or healthcare billing, accounts receivable, or revenue cycle management.
- Strong understanding of patient ledger reconciliation and insurance payment posting.
- Experience working with practice management or dental software systems.
- High attention to detail with strong analytical and problem-solving skills.
- Ability to work independently and manage large volumes of historical account data.
- Experience in multi-location dental practices.
- Prior experience in account cleanup or revenue recovery initiatives.
ESSENTIAL FUNCTIONS:
Account Reconciliation & Cleanup
- Perform detailed manual reconciliation of patient ledgers to correct historical discrepancies, including unapplied payments, adjustments, write-offs, and insurance mispostings.
- Research and resolve aged account balances and unreconciled transactions.
- Identify root causes of ledger inconsistencies and document corrective actions.
- Ensure patient accounts accurately reflect charges, payments, and outstanding balances before billing initiation.
Revenue Recovery & Collections
- Execute on the structured patient statement billing process
- Identify, initiate and track patient refunds after a credit is found post-reconciliation
- Prepare and distribute accurate patient statements following reconciliation.
- Answer patient billing questions in a professional and compliant manner.
- Monitor aging reports and prioritize high-impact accounts for resolution.
- Contribute directly to increasing the Patient Collection Rate through structured follow-up.
Reporting & Baseline Metrics
- Track progress on backlog reduction and report on recovered revenue.
- Provide regular updates to leadership regarding reconciliation status, billing initiation progress, and collection outcomes.
- Recommend process improvements to prevent future backlog or billing gaps.
- Ensure compliance with HIPAA and all applicable healthcare billing regulations.
- Support training efforts for front desk or administrative staff related to patient account accuracy and billing best practices.
PHYSICAL REQUIREMENTS:
- Prolonged sitting and standing as needed
- Ability to lift up to 15 lbs, as needed
NOTE:
A review of this description has excluded the marginal functions of the position that are incidental to the performance of fundamental job duties. All duties and requirements are essential job functions.
This job description in no way states or implies that these are the only duties to be performed by the Associate occupying this position. Associates will be required to perform any other job-related duties assigned by their supervisor.