
Dental Insurance Claims Professional
2 weeks ago
As a skilled professional in dental claims management, you will play a pivotal role in delivering exceptional service to our valued clients. Your primary responsibilities will include managing and processing claims, resolving issues, and providing top-notch support while upholding the highest standards of quality and integrity.
- You will be responsible for following up on outstanding insurance claims, ensuring all follow-ups are properly documented and communicated by adding notations to patient accounts using track stat and commlog features.
- Your tasks will involve sending out claims and attachments to insurance companies, determining denial validity, and addressing them accordingly.
- You will also generate OI reports and ensure their timely completion, as well as resubmit and reprocess claims, including grievances and appeals.
- Clearing rejected claims on a weekly basis is another critical aspect of your role, along with updating the office tracker to reflect all payments posted, including check scans and EFTs.
- You will be required to complete assigned follow-ups from office spreadsheets, generate EFT reports, and retrieve EOBs from insurance portals for 100% posting.
- Fundamental to your success is the ability to work independently as a remote employee, communicating effectively with managers and adhering to work time schedules.
- A strong command of verbal and written English, along with excellent interpersonal skills, is essential for effective communication.
- Background in dental insurance or collections industries is preferred.
- Minimum 3 years of hands-on experience in collections, combined with high motivation, attention to detail, and organizational skills.
- This role demands an individual who can work independently, manage time efficiently, and maintain follow-up skills.
We offer a highly competitive compensation package, including HMO coverage with one free dependent upon hire. As a dedicated team member, you are expected to meet desired goals and accomplish tasks in a timely manner, maintaining professionalism at all times.
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Porac, Philippines beBeeRevenue Full time ₱800,000 - ₱1,200,000Job Title:Medical Claims SpecialistWe are seeking dedicated Medical Claims Specialists to work from home. The ideal candidate will have expertise in medical billing and coding, with a strong understanding of healthcare insurance plans and related policies.Responsibilities include managing accounts receivables, coordinating with healthcare providers and...