Dental Insurance Claims Professional

1 day ago


Las Piñas, National Capital Region, Philippines beBeeDentalClaims Full time ₱5,000,000 - ₱6,500,000
Dental Claims Specialist Role

We are seeking a highly skilled Dental Claims Specialist to join our team. The successful candidate will play a critical role in delivering exceptional service to our customers, managing and processing claims, resolving issues, and upholding our commitment to quality and integrity.

Key Responsibilities:
  • Follow-up on outstanding insurance claims, ensuring all follow-ups are properly documented and communicated.
  • Send out claims and attachments to insurance companies.
  • Determine denial validity and address them appropriately.
  • Generate OI reports and ensure monthly completion.
  • Claim resubmission and reprocessing, including grievance and appeals.
  • Clear rejected claims on a weekly basis.
  • Update the office tracker to include all payments posted and address rejected claims.
  • Complete assigned follow-ups and generate EFT reports.
  • Retrieve EOBs from insurance portals for posting and apply corrections as needed.
  • Identify insurance process updates/issues and communicate findings with the team.
  • Achieve desired goals and accomplish tasks in a timely manner.
Requirements:
  • Strong command of verbal and written English and interpersonal skills.
  • Background in dental insurance or collections industries.
  • 3+ years of hands-on collections experience.
  • Highly motivated, detail-oriented, and able to work independently.
  • Outstanding organizational, time management, and follow-up skills.


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