Remote Dental Claims Specialist Opportunity

2 days ago

Taguig, National Capital Region, Philippines beBeeDentalClaims Full time ₱600,000 - ₱800,000
Job Summary

This is an exciting opportunity to join our team as a Dental Claims Specialist. As a key member of our team, you will play a vital role in delivering exceptional service to our customers. Your primary responsibility will be to manage and process claims, resolve issues, and provide support to our clients while upholding our commitment to quality and integrity.

Key Responsibilities
  • Follow-up on outstanding insurance claims to 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 OI reports and ensure monthly completion.
  • Resubmit and reprocess claims, including grievances and appeals.
  • Clear rejected claims on a weekly basis.
  • Update the office tracker to include all payments posted and confirm that all rejected claims were addressed.
  • Complete all follow-ups assigned on the office spreadsheets.
  • Generate EFT reports and retrieve EOBs from insurance portals for posting.
  • Post insurance payments following office preference, uploading EOBs, and applying adjustments/correcting WOs.
  • Identify any insurance process updates/issues and communicate findings with the team.
  • Remain professional at all times, adhering to work ethics and schedules.
  • Meet desired goals and accomplish tasks in a timely manner.
  • Communicate with the manager in case of attendance issues.
Requirements
  • Strong command of verbal and written English, as well as 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 in a remote position.
  • Outstanding organizational, time management, and follow-up skills.
  • HMO with 1 free dependent upon hire (with Dental coverage).
Why Choose Us?

We offer a dynamic work environment, opportunities for growth and development, and a comprehensive benefits package.

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