
Remote Dental Claims Professional
1 day ago
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.
- 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).
You will enjoy a comprehensive benefits package, including HMO with one free dependent upon hire, which provides dental coverage.
Additional InformationPlease note that this is a remote position requiring strong organizational, time management, and follow-up skills.
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