Dental Claims Specialist

Join to apply for the Dental Revenue Cycle Medicaid Specialist role at Wave Dental Professionals

Cambridge Dental Group – Dearborn Heights, MI is seeking a detail-oriented and experienced team member for the centralized business office. This role is essential in ensuring accurate and timely submission and follow-up of Medicaid pre-authorizations and claims. The ideal candidate will bring a strong background in Medicaid billing and revenue cycle management (RCM), with a commitment to accuracy and efficiency.

Position: CBO Team Member – Medicaid Specialist.

Location:

Cambridge Dental Group – Dearborn Heights, MI.

Employment type:

Full-time.

• Submit all Medicaid pre-authorizations and claims in a timely manner.
• Follow up consistently on pre-authorizations and claims to ensure proper resolution.
• Review and manage daily work logs to resolve outstanding claims.
• Document all account activities accurately within the practice management system.
• Process EOB and R/A payments/denials accurately and promptly.
• Communicate effectively with leadership, co-workers, and dental offices regarding claim status.
• Maintain a high level of accuracy and attention to detail in all job functions.
• Provide backup support to other CBO team members as needed.

• 5+ years of Medicaid billing and RCM experience (preferred).
• Proven ability to manage pre-authorizations and claims efficiently.
• High attention to detail and task-focused work style.
• Strong organizational and follow-up skills.

• Some dental clinical experience (helpful but not required).

• Full-time position with comprehensive benefits including health insurance, life insurance, PTO, paid holidays, disability options, 401k with match.
• Be part of a supportive and collaborative CBO team.
• Play a key role in ensuring smooth financial operations for our office.
• Competitive compensation and growth opportunities within a trusted dental group.

• High school diploma or equivalent required.
• Three years healthcare cash posting, billing, third-party follow-up and collections experience required; OR a combination of education and/or experience in business or related field totaling three years.
• Knowledge of automated business applications, including word-processing, spreadsheet and database management applications required.
• Data entry experience and knowledge of Medicare, Medicaid, and third-party insurance preferred.

FLSA Status:
Hourly, Non-Exempt

Reports to:

VP of Finance

• Seniority level:
  Mid-Senior level
• Employment type:
  
  Full-time
• Job function:
  Health Care Provider
• Industries:
  Medical Practices