Dental Insurance Administrator

19 hours ago

Manila, National Capital Region, Philippines beBeeClaims Full time ₱3,000,000 - ₱4,000,000
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 while upholding quality and integrity.

  • Follow-up status of outstanding insurance claims, ensuring proper documentation and communication by adding notations to the patient's account.
  • Send out claims and attachments to insurance providers.
  • Determine denial validity and address them properly.
  • Generate OI reports and ensure monthly completion.
  • Claim resubmission and reprocessing, including grievances and appeals.
  • Clear rejected claims on a weekly basis.
  • Update the office tracker with all payments posted and addressed rejected claims.
  • Complete all follow-ups assigned on the office spreadsheets.
  • Generate EFT reports and retrieve EOBs from insurance portals for posting 100%.
  • Insurance payment posting - follow office preference, upload EOB, and apply correct adjustments/WO.
  • Identify insurance process updates/issues and communicate findings with the team.
  • Required to remain professional at all times, observing work ethics and adhering to the work time schedule.
  • Expected to hit desired goals and accomplish tasks in a timely manner.
  • Expected to communicate with the manager in the absence of attendance issues.
Requirements:
  • Strong command of verbal and written English and interpersonal skills, little to no accent when speaking.
  • Background in the dental insurance or collections industries.
  • 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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