The Orthodontic Account Receivable Specialist is responsible for revenue cycle management to ensure balances, both patient and insurance, remain current within defined metrics. The Ortho AR Specialist will help and support with implementing best practices related to Orthodontic revenue cycle management. Employee will be working directly with the Director of Orthodontics, Revenue Cycle Manager, Regional Operation Managers and Operations Manager to effectively support the operations team while having a prime focus on outstanding accounts receivable in practices supported by LPDG. This individual will serve as a direct liaison between the Smile Center, various benefit payors as well as practices under the LPDG umbrella.

Key Responsibilities

Reasonable accommodations may be mode to enable individuals with disabilities to perform the essential functions.

• Proactively monitor patient accounts for balances to ensure timely payments are received and accounts are being addressed for non-payment, work denials, and insurance terminations.
• Review and support Orthodontic fee schedules for account accuracy from the start of the Ortho contract, will address fee schedules and support in address if inaccurate.
  • Ensure timely dismissal of Ortho patients by leading and supporting the Orthodontic dismissal process for non-compliance (clinical or financial), patients transferring, early debands, or any account audits that are requested.
• Enter patient Ortho start contracts, confirming accuracy in benefit assignment, as needed per region assigned.
• Process letters for patients with no appointments.
• Processing and posting of patient and insurance payments through recurring auto drafts (patient balances) and subsequence insurance claims.
• Exceptional communication with patients, field management teams and team members to arrange for, support and collect payments, as it is a partnership.
• Create, run, and share reports associated with Ortho with the Director of Ortho, RCM Manager, and the Operations Manager.
• Maintain bookkeeping databases and spreadsheets, such as the milestones of patient care, and updating information daily, weekly, monthly, as needed to be reviewed in a weekly meeting with the team.
• Partner with credentialing and operations teams to ensure all fee schedules are up-to-date and entered into the practice management systems.
• Partner with Regional Operations Managers and Operations Managers for training needed.