
Career Opportunity: Dental Claims Processing Expert
1 day ago
Dental Claims Specialist Job Description
As a Dental Claims Specialist, you will play a critical role in delivering exceptional service to our customers. You will be responsible for managing and processing claims, resolving issues, and providing support to our clients while upholding our commitment to quality and integrity.
- Manage and process dental insurance claims from start to finish.
- Follow-up on outstanding claims and ensure all follow-ups are properly documented and communicated.
- Send out claims and attachments to insurance companies.
- Determine denial validity and address them properly.
- Generate reports and ensure monthly completion.
- Claim resubmission and reprocessing, including grievance and appeals.
- Clear rejected claims on a weekly basis.
- Update office trackers to include all payments posted and addressed rejected claims.
- Complete all follow-ups assigned.
- Generate EFT reports and retrieve EOBs from insurance portals for posting 100%.
- Insurance payment posting - follow office preference, always upload EOB, and apply corrections as needed.
- Strong command of verbal and written English and interpersonal skills with minimal accent when speaking.
- Background in the dental insurance or collections industries.
- At least 3 years of hands-on collections experience.
- Highly motivated, detail-oriented, able to work independently as this is a remote position.
- Outstanding organizational, time management, and follow-up skills.
- HMO with 1 free dependent upon hire (with dental coverage).
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