Remote Dental Claims Professional

1 day ago


Calamba, Calabarzon, Philippines beBeeDentalClaims Full time ₱1,800 - ₱2,500
Dental Claims Specialist Job Description

As a skilled Dental Claims Specialist, you will play a pivotal role in delivering exceptional service to our clients. You will be responsible for managing and processing claims, resolving issues, and providing support while upholding quality and integrity.

  • Follow-up on outstanding insurance claims, ensuring all follow-ups are properly documented and communicated by adding a notation to the patient's account.
  • Send claims and attachments to insurance companies.
  • Evaluate denial validity and address them appropriately.
  • Generate OI reports and ensure timely completion.
  • Process claim resubmissions and reprocessing, including grievances and appeals.
  • Clear rejected claims on a weekly basis.
  • Update the office tracker with payments posted and addressed rejected claims.
  • Complete assigned follow-ups on the office spreadsheets.
  • Retrieve EOBs from insurance portals for 100% posting.
  • Post insurance payments according to office preference, upload EOBs, and apply adjustments correctly.
  • Stay updated on insurance process changes and communicate findings with the team.
  • Ensure professionalism at all times, adhering to work ethics and schedule.
Required Skills and Qualifications
  • Strong command of verbal and written English and interpersonal skills, 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 setting.
  • Excellent organizational, time management, and follow-up skills.
  • HMO with one free dependent upon hire (with dental coverage).
Benefits

You will enjoy a comprehensive benefits package, including HMO with one free dependent upon hire, which provides dental coverage.

Additional Information

Please note that this is a remote position requiring strong organizational, time management, and follow-up skills.



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