
Dental Practice Medical Claims Processor
12 hours ago
Medical Claims Specialist
OverviewWe are seeking a detail-oriented and experienced medical claims specialist to support the credentialing, billing, and accounts receivable processes. This role requires strong technical knowledge of medical billing systems, insurance processes, and claim management.
Key Responsibilities- Credentialing: Complete and process provider applications, maintain accuracy and completeness of provider data in the database, communicate effectively with the team throughout the credentialing process, and proactively follow up on application statuses and missing information.
- Billing and AR: Review all aspects of the revenue cycle process, investigate and resolve denied, delayed, or underpaid claims, monitor AR aging reports, follow up on overdue accounts, analyze claim denials, research and gather missing information needed for claim processing, and handle appeals for denied claims.
- Minimum 2 years of experience in medical billing and claims management.
- Proficiency with medical billing software and coding.
- Strong understanding of insurance billing processes and medical insurance plans.
- Excellent written and verbal communication skills.
- Strong analytical and problem-solving abilities.
- High attention to detail and accuracy.
- This role may require sitting or standing for long periods, working more than 40 hours/week, and being in a studio environment which can be noisy/distracting.
The ideal candidate will have excellent organizational skills, be able to prioritize tasks, and work independently. A positive, patient, and professional demeanor is required for this role.
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