Insurance AR Specialist

Overview

The Insurance A/R Support Specialist is responsible for monitoring, researching, and resolving outstanding insurance accounts receivable over 30 days. This role ensures claims are accurately followed up on, required attachments are submitted through Denticon, and all DentalXChange errors are reviewed and corrected in a timely manner. The specialist supports the revenue cycle by reducing aged A/R, improving first-pass claim approvals, and expediting insurance reimbursement.

Responsibilities

• Submit claims daily with required attachments in Denticon.
• Review and correct all DentalXChange errors daily.
• Utilize Denticon Task Manager to work all outstanding insurance A/R aged 30+ days (by payer, age bucket and value).
• Research claim status via payer portals and phone calls when needed.
• Document claim follow-up notes clearly and accurately within Denticon.
• Escalate denial patterns to leadership for root-cause intervention.
• Monitor timely filing limits to prevent aged claims from expiring.
• Utilize Denticon Task Manager to collaborate with office teams to request additional documentation when needed.

Performance Metrics (KPIs)

• Insurance AR Aging Target:

55% in 0-30 days

20% in 31-60 days

15% in 61-90 days

10% in over 90 days

• 90% First-pass acceptance rate

Culture

Our Revenue Cycle Management team is built on a foundation of service excellence. Guided by DCAs AmaZing Training philosophy, we understand that our providers, practice teams, and offices are not just partners, they are our customers. Every interaction is an opportunity to deliver exceptional service by being responsive, collaborative, and accountable. We listen actively, anticipate needs, and take ownership to provide solutions or connect our offices with the right resources quickly and effectively. Our culture thrives on teamwork, transparency, and a shared commitment to making life easier for our practices. By removing financial complexities, we empower offices to focus on what matters most - delivering outstanding patient care. At DCA, we dont just manage revenue; we create an experience that reflects our promise of AmaZing service every day.

Reports To: Insurance AR Supervisor/AR Revenue Cycle Manager