Dental Claims Professional

1 day ago


Iloilo City, Western Visayas, Philippines beBeeClaims Full time ₱800,000 - ₱1,000,000
Job Summary

We are seeking a highly skilled Dental Claims Specialist to join our team. As a Dental Claims Specialist, you will play a critical role in delivering exceptional service to our customers.

About the Role

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.

Key Responsibilities
  • Follow-up status of outstanding insurance claims, ensuring all follow-ups are properly documented and communicated.
  • Send out claims and attachments to insurance providers.
  • Determine denial validity and address them accordingly.
  • Generate OI reports and ensure monthly completion.
  • Claim resubmission and reprocessing, including grievance and appeals.
  • Clear rejected claims on a weekly basis.
  • Update weekly office tracker with payments posted and rejected claims addressed.
  • Complete all follow-ups assigned.
  • Generate EFT reports and retrieve EOBs from insurance portals for posting.
  • Insurance payment posting - apply correct adjustment/WO according to office preference.
Requirements
  • Strong command of verbal and written English and interpersonal skills.
  • Background in the Dental insurance or collections industries.
  • 3+ years of hands-on collections experience.
  • Highly motivated, detail-oriented, able to work independently.
  • Outstanding organizational, time management and follow-up skills.
Benefits
  • HMO with 1 free dependent upon hire (with Dental coverage).


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