
Dental Claims Processor
1 day ago
Delivering Exceptional Service as a Dental Claims Specialist
Job SummaryThis key role involves managing and processing claims, resolving issues, and providing support to clients while maintaining a commitment to quality and integrity.
Responsibilities:- Follow up on outstanding insurance claims and ensure all follow-ups are properly documented and communicated.
- Send claims and attachments to insurance companies.
- Determine denial validity and address them accordingly.
- Generate OI reports and ensure timely completion.
- Handle claim resubmissions and reprocessing, including grievance and appeals.
- Clear rejected claims on a weekly basis.
- Update the office tracker with payments posted and rejected claims addressed.
- Complete assigned follow-ups and generate EFT reports.
- Retrieve EOBs from insurance portals for posting 100%.
- Post insurance payments according to preference, uploading EOBs and applying correct adjustments.
- Identify insurance process updates/issues and communicate findings with the team.
- Maintain professionalism at all times, adhering to work ethics and schedules.
- Strong verbal and written English skills, with minimal accent when speaking.
- Background in dental insurance or collections industries.
- At least 3 years of hands-on collections experience.
- Highly motivated, detail-oriented, and able to work independently in a remote position.
- Excellent organizational, time management, and follow-up skills.
We seek a highly skilled and dedicated individual to excel in this role. If you have a strong background in dental insurance or collections, excellent communication skills, and a keen eye for detail, we encourage you to apply.
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