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Medical Claims Examiner

1 week ago

Mandaluyong City, National Capital Region, Philippines Vector Outsourcing Solutions Philippines Full time

We seek an experienced Dental Insurance Eligibility Verifier to join our team. As a key member of the Dental Insurance Billing/Collections Team, this individual will be responsible for verifying dental insurance eligibility and gathering patient information for specific procedures.

The ideal candidate will have at least 1-2 years of experience in dental insurance verification and a strong understanding of dental insurance policy types, including PPO, HMO, and MediCal. They must also be proficient in navigating major dental practice management systems and have procedural knowledge of general dentistry procedures.

The successful candidate will work closely with dental clinics and service providers to verify patient eligibility and enter relevant information into practice management systems. Strong attention to detail and organizational skills are crucial for success in this role.

Duties and Responsibilities:
  • Verify dental insurance eligibility through multiple channels
  • Gather patient eligibility information for specific dental procedures
  • Enter eligibility data into practice management systems
  • Collaborate with dental clinics in real-time to verify patient eligibility
Requirements:
  • At least 1-2 years of experience in dental insurance verification
  • Familiarity with dental insurance policy types
  • Proficiency in navigating practice management systems
  • Procedural knowledge of general dentistry procedures
  • Strong analytical and problem-solving skills
  • Data entry skills
  • Ability to maintain confidentiality