Dental Insurance Claim Professional

6 hours ago


Bacoor, Calabarzon, Philippines beBeeClaims Full time ₱450,000 - ₱650,000

Job Summary:

We are seeking a skilled Dental Claims Specialist to join our team. In this role, you will be responsible for managing and processing claims, resolving issues, and providing support while maintaining quality and integrity.

  • Process and follow up on outstanding insurance claims, ensuring all follow-ups are properly documented and communicated.
  • Send out claims and attachments to insurance providers in a timely manner.
  • Evaluate denial validity and address them accordingly.
  • Generate reports and ensure monthly completion.
  • Resubmit and reprocess claims, including grievances and appeals.
  • Clear rejected claims weekly.
  • Update the office tracker with all payments posted, including checks and EFTs, and verify that all rejected claims were addressed.
  • Complete assigned follow-ups on office spreadsheets.
  • Retrieve electronic remittance advices from insurance portals for 100% posting and apply adjustments as needed.
  • Monitor insurance process updates and communicate findings with the team.
  • Maintain professional behavior at all times, adhering to work ethics and schedules.
Requirements
  • Possess strong command of verbal and written English and interpersonal skills with minimal accent.
  • Hold background in dental insurance or collections industries.
  • Demonstrate at least 3 years of hands-on collections experience.
  • Show high motivation, attention to detail, and ability to work independently in a remote setting.
  • Exhibit excellent organizational, time management, and follow-up skills.


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