Dental Claims Specialist
Dental Claims Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Description
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- Follow-up status of outstanding insurance claims make sure all follow-ups are properly documented and communicated by always adding a notation to the patients account (using the track stat and commlog)
- Send out claims and attachments to insurance.
- Determine denial validity and properly address them
- Generate OI reports and ensure monthly completion.
- Claim resubmission and reprocessing including grievance and appeals.
- Clear rejected claims on a weekly basis
- Update weekly office tracker to include all payments posted (check scans and EFTs) and if all rejected claims were addressed
- Complete all follow-ups assigned (on the office spreadsheets)
- Generate EFT reports and retrieve EOBs from insurance portals for posting 100%
- Insurance payment posting - follow office preference always upload EOB and apply. correct adjustment/WO
- Identify any insurance process updates/issues and communicate findings with the team. that insurances are open while working
- Required to remain professional at all times observing work ethics and adhering to the work time schedule
- Expected to hit the desired goal and accomplish all tasks in a timely manner.
- Expected to communicate with the manager in the absence of any attendance issues
Requirements
- Strong command of verbal and written English and interpersonal skills. Little to no accent when speaking
- Background in the Dental insurance or collections industries
- 3 years of hands-on collections experience
- Highly motivated detail-oriented able to work independently as this is a remote position
- Outstanding organizational time management and follow-up skills
Benefits
- HMO with 1 free dependent upon hire (with Dental coverage)
- Life Insurance
- Night Shift/20% Night Differential
- 20 PTO credits annually
- Great Company Culture
- Career Growth and Learning
- Work from home
Required Experience:
Unclear Seniority
Employment Type
Full-Time
