Senior Insurance Claim Professional

1 week ago


Tanauan, Calabarzon, Philippines beBeeDentalClaimsSpecialist Full time ₱1,500,000 - ₱2,000,000

Dental Claims Specialist Role Summary

This is a critical position that plays a key role in delivering exceptional service to our customers. We are seeking an experienced professional to manage and process claims, resolve issues, and provide support to our clients while upholding our commitment to quality and integrity.

Key Responsibilities:
  • Follow-up status of outstanding insurance claims and ensure all follow-ups are properly documented and communicated by adding a notation to the patient's account using track stat and commlog.
  • Send out claims and attachments to insurance and determine denial validity, addressing them properly.
  • Generate OI reports and ensure monthly completion, including claim resubmission and reprocessing, grievance, and appeals.
  • Clear rejected claims on a weekly basis and update the weekly office tracker with all payments posted and rejected claims addressed.
  • Complete all assigned follow-ups on office spreadsheets and generate EFT reports to retrieve EOBs from insurance portals for posting 100%.
  • Post insurance payments following office preference, uploading EOBs and applying correct adjustments/work orders.
  • Identify any insurance process updates or issues and communicate findings with the team regarding insurances availability while working.
  • Required to maintain professionalism at all times, adhering to work ethics and work time schedules.
  • Expected to hit desired goals and accomplish tasks in a timely manner, communicating with the manager in case of attendance issues.
Requirements and Qualifications:
  • Strong command of verbal and written English and interpersonal skills, minimal accent when speaking.
  • Background in dental insurance or collections industries, preferably 3+ years of hands-on collections experience.
  • Highly motivated, detail-oriented, and able to work independently as this is a remote position.
  • Outstanding organizational, time management, and follow-up skills.
  • Benefits include HMO with one free dependent upon hire (with dental coverage).
About This Job

This job offers a chance to grow professionally and develop skills in a dynamic environment. If you have the required qualifications and experience, we encourage you to apply for this challenging yet rewarding opportunity.



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