
Dental Claims Specialist
2 days ago
As a Dental Claims Specialist, you will play a critical role in delivering exceptional service to our customers. You will be responsible for managing and processing claims, resolving issues, and providing support to our clients while upholding our commitment to quality and integrity
.
- Follow-up status of outstanding insurance claims, make sure all follow-ups are properly documented and communicated by always adding a notation to the patient's 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
- 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
- HMO with 1 free dependent upon hire (with Dental coverage)
-
Dental Insurance Claims Expert
1 day ago
Makati City, National Capital Region, Philippines beBeeClaims Full time ₱800,000 - ₱1,200,000As a Dental Claims Professional, you will play a key role in delivering exceptional service to our customers. Your primary responsibility will be managing and processing claims, resolving issues, and providing timely support while maintaining high standards of quality and integrity. Follow-up on outstanding insurance claims, ensuring all follow-ups are...
-
Dental Care Specialist
3 days ago
Quezon City, National Capital Region, Philippines beBeeDentistry Full time ₱600,000 - ₱1,000,000Dental Care SpecialistThe role of a Dental Care Specialist is to conduct dental examinations and procedures for students and university personnel.Key Responsibilities:Perform routine dental examinations and treatmentsRefer students and personnel to specialists when necessaryIssue dental certificates as requiredAdminister first aid in the event of dental...
-
Claims Specialist
4 weeks ago
Makati City, National Capital Region, Philippines AXA Full timeJob ResponsibilitiesAcknowledge receipt of claim requests.Upload claim documents to the case in the health claims system.Validate claim details in the health claims system.Update claim status and notes in the health claims system.Update TPA file for endorsement to Claims Control Team.Adhere to service standards of processing administrative requests.Ensure...
-
Claim Processing Coordinator
2 days ago
Makati City, National Capital Region, Philippines beBeeMedical Full time ₱150,000 - ₱250,000Claims Specialist RoleThe Claims Associate plays a vital role in ensuring seamless claim processing and streamlining the claims management process.This position requires strong organizational skills, attention to detail, effective communication, and proficiency in handling multiple tasks simultaneously.The ideal candidate will possess excellent time...
-
Claims Management Specialist
4 days ago
Makati City, National Capital Region, Philippines beBeeClaims Full timeAs a professional in the field of claims management, you will play a vital role in maintaining and prioritizing a portfolio of claims on a daily basis. This will ensure timely and accurate processing of these claims.The successful candidate will join a team of professionals based in Manila who are responsible for claim analysis, defense, pursuit, advising,...
-
Medical Claims Specialist
16 hours ago
Makati City, National Capital Region, Philippines beBeeCareer Full time ₱300,000 - ₱450,000Job OpportunityWe are seeking an experienced professional to fill a Medical Billing Specialist position within our expanding team.About the RoleVerify patient eligibility and benefits for various treatments, hospitalizations, and procedures.Review and verify patient bills for accuracy and completeness, and obtain any necessary information.Follow up on unpaid...
-
Shipping Claims Specialist
16 hours ago
Makati City, National Capital Region, Philippines beBeeClaim Full time ₱800,000 - ₱1,200,000About the RoleThe Voyage Claims Advisor will join Shell Trading & Supply as a Night Shift role in Manila. The team provides Demurrage and Post Deal Expense claim analysis, defense, pursuit, advice, and settlement on behalf of companies within the North American business.Key ResponsibilitiesMaintain and prioritize a portfolio of claims daily, ensuring timely...
-
Expert Dental Care Specialist
16 hours ago
Quezon City, National Capital Region, Philippines beBeeDentist Full time ₱800,000 - ₱1,200,000Dental Care ProviderThis is a dental care provider role that requires a high level of expertise and experience in patient care, treatment planning, and performing complex dental procedures. The ideal candidate will be a licensed dentist with at least 2 years of experience in a similar position.Responsibilities:Patient Care: Provide comprehensive dental care...
-
Healthcare Claims Processor
16 hours ago
Quezon City, National Capital Region, Philippines beBeeMedical Full time ₱300,000 - ₱480,000Job OverviewMedical Billing SpecialistWe are seeking a highly skilled and detail-oriented Medical Billing Specialist to join our team. As a key member of our operations team, you will play a crucial role in ensuring the accurate and timely processing of medical claims.The ideal candidate will have a strong understanding of medical billing regulations,...
-
Claims Process Optimization Lead
4 days ago
Mandaluyong City, National Capital Region, Philippines beBeeProcessImprovement Full timeProcess Improvement SpecialistJob Description:The primary objective of this role is to collaborate closely with the Claims Manager to drive and implement strategic process improvements initiatives that optimize team efficiency while prioritizing exceptional customer service. This involves working closely with cross-functional teams across Operations and...