Careers: Dental Claims Specialist

2 days ago


Province of Palawan, Mimaropa, Philippines beBeeDentalClaims Full time ₱450,000 - ₱600,000

Dental Claims Specialist Job Description

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  • The role of a Dental Claims Specialist is to provide exceptional service to customers by managing and processing claims, resolving issues, and delivering support to clients while maintaining quality and integrity.
  • Key responsibilities include following up on outstanding insurance claims, ensuring all follow-ups are properly documented and communicated, sending out claims and attachments to insurance, determining denial validity, and addressing them accordingly.
  • The specialist will also generate OI reports, ensure monthly completion, and perform claim resubmission and reprocessing including grievance and appeals.
  • In addition, they will clear rejected claims on a weekly basis, update the weekly office tracker with payments posted, complete all follow-ups assigned, generate EFT reports, retrieve EOBs from insurance portals for posting, and apply adjustments/waivers as needed.
  • The specialist is expected to remain professional at all times, adhere to work ethics, and maintain a timely schedule.
Requirements and Qualifications
  • A strong command of verbal and written English and interpersonal skills with little to no accent when speaking.
  • A background in the dental insurance or collections industries.
  • A minimum of 3+ years of hands-on collections experience.
  • Highly motivated individuals with excellent organizational, time management, and follow-up skills.
  • HMO coverage with 1 free dependent upon hire (with dental coverage).

About This Role

This is a remote position that requires independent work, making it ideal for highly self-motivated individuals who can prioritize tasks effectively.

Why You'll Love This Job

We offer a dynamic work environment with opportunities for growth and development. Our team is passionate about delivering exceptional service to our customers, and we're looking for like-minded professionals to join us.



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