Dental Insurance Professional

2 days ago

Taguig, National Capital Region, Philippines beBeeClaims Full time ₱3,000,000 - ₱6,000,000

Are you ready to take your career to the next level as a Dental Claims Specialist? In this critical role, you will be responsible for delivering exceptional service to our customers by managing and processing claims, resolving issues, and providing support while upholding our commitment to quality and integrity.

Key Responsibilities
  • Follow-up on outstanding insurance claims and ensure all follow-ups are properly documented and communicated.
  • Send out claims and attachments to insurance companies.
  • Determine denial validity and address them appropriately.
  • Generate OI reports and ensure monthly completion.
  • Claim resubmission and reprocessing, including grievance and appeals.
  • Clear rejected claims on a weekly basis.
  • Update the weekly office tracker to include all payments posted and confirm that all rejected claims were addressed.
  • Complete all assigned follow-ups on the office spreadsheets.
  • Generate EFT reports and retrieve EOBs from insurance portals for posting.
  • Post insurance payments according to office preference, always uploading EOBs and applying correct adjustments.
  • Identify any insurance process updates or issues and communicate findings with the team while ensuring insurance is open.
Requirements
  • Strong command of verbal and written English and interpersonal skills with minimal accent when speaking.
  • Background in the dental insurance or collections industries.
  • At least 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).
Why You'll Thrive Here

This role offers a unique opportunity to join a dynamic team where you can grow professionally and personally. With a strong focus on quality and integrity, we strive to deliver exceptional service to our customers.

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