Dental Claims Specialist

4 weeks ago


Angeles City, Central Luzon, Philippines SuperStaff Full time

Description

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.
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.
  • HMO with 1 free dependent upon hire (with Dental coverage).
#J-18808-Ljbffr

  • Tarlac City, Central Luzon, Philippines SuperStaff Full time

    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 integrityFollow-up status of outstanding insurance claims, make sure all follow-ups...


  • Angeles City, Central Luzon, Philippines Connext Global Solutions Inc Full time ₱900,000 - ₱1,200,000 per year

    Job SummaryThe Dental Billing Specialist is responsible for accurately and efficiently handling the billing and insurance-related tasks within a dental practice. This includes reviewing patient bills, preparing and submitting claims, following up on unpaid claims, verifying insurance coverage, and performing data entry.Responsibilities• Review patient...


  • Angeles City, Central Luzon, Philippines Connext Global Solutions Inc Full time ₱900,000 - ₱1,200,000 per year

    Join Our Team as an A/R Follow-Up SpecialistThe A/R Follow-Up Specialist is responsible for billing, re-billing, post-payment, and account follow-up on assigned hospital accounts receivable. The role manages claim status checks, denials, appeals, and payer communication to ensure accurate reimbursement and timely resolution.Key Responsibilities:Access and...


  • Angeles City, Central Luzon, Philippines Connext Global Solutions Inc Full time ₱900,000 - ₱1,200,000 per year

    The A/R Follow-Up Specialist is responsible for billing, re-billing, post-payment, and account follow-up on assigned hospital accounts receivable. The role manages claim status checks, denials, appeals, and payer communication to ensure accurate reimbursement and timely resolution. Benefits• Annual Merit Increase• Health Insurance• Life Insurance ...


  • Angeles City, Central Luzon, Philippines Connext Full time ₱900,000 - ₱1,200,000 per year

    TheA/R Follow-Up Specialistis responsible for billing, re-billing, post-payment, and account follow-up on assigned hospital accounts receivable. The role manages claim status checks, denials, appeals, and payer communication to ensure accurate reimbursement and timely resolution.Benefits• Annual Merit Increase• Health Insurance• Life...


  • Angeles City, Central Luzon, Philippines MCI Full time

    OverviewAngeles City, PHFull-TimeMCI is a leading Business Process Outsourcing (BPO) company that specializes in delivering tailored solutions to meet the diverse needs of our clients. With a commitment to excellence and a focus on innovation, we have established ourselves as a trusted partner in the industry.We are seeking a Workers' Compensation...

  • Payroll Specialist

    4 days ago


    Angeles City, Central Luzon, Philippines Universal Access & Systems Solutions Inc. Full time ₱600,000 - ₱800,000 per year

    About the role We are seeking an experienced Payroll Specialist to join the dynamic team at Universal Access & Systems Solutions Inc.'. As a Payroll Specialist, you will be responsible for ensuring the accurate and timely processing of payroll for our employees across our Angeles City Pampanga office. This is a full-time position that will play a crucial...


  • Angeles City, Central Luzon, Philippines Link Worldwide Full time ₱400,000 - ₱600,000 per year

    Job PurposeReports to the Accounts Payable Lead with responsibility to handle purchase invoices & expense claims processing and maintain accurate records related to these transactions. This role is a processing role and is not responsible for owning or resolving purchase invoice issues.Job DutiesReceiving, verifying and processing invoices from...


  • Angeles City, Central Luzon, Philippines Asian Sourcing Link Phils., Inc. Full time ₱250,000 - ₱350,000 per year

    JOB DUTIESReceiving, verifying and processing invoices from vendorsMatching vendor invoices with purchase orders ensuring accuracy of pricing information and payment termsProcessing of internal expense claim formsEscalating issues following audit checks to the Accounts Payable Resolutions SpecialistsProvide support to the Accounts Payable Resolutions...

  • Accounts Payable

    3 days ago


    Angeles City, Central Luzon, Philippines Link Worldwide Full time ₱300,000 - ₱600,000 per year

    Job PurposeReports to the Accounts Payable Lead with responsibility to handle purchase invoices & expense claims processing and maintain accurate records related to these transactions.Job DutiesReceiving, verifying and processing invoices from vendorsMatching vendor invoices with purchase orders ensuring accuracy of pricing information and payment...