Dental Claims Professional

2 days ago


Cabuyao, Calabarzon, Philippines beBeeClaims Full time ₱2,800,000 - ₱4,280,000

As a dental claims professional, you will play a pivotal role in delivering exceptional customer service and upholding the highest standards of quality and integrity.

Key Responsibilities
  • Ensure timely follow-up on outstanding insurance claims, documenting all interactions and communications with patients.
  • Process and send out claims to insurance companies, ensuring seamless communication and efficient processing.
  • Analyze denial validity and implement effective resolution strategies.
  • Generate reports and maintain accurate records to ensure compliance and adherence to regulatory requirements.
  • Resubmit and reprocess claims as needed, addressing grievances and appeals in a prompt and professional manner.
  • Clear rejected claims on a regular basis, maintaining an accurate record of actions taken.
  • Update office records with all payments posted, ensuring that rejected claims are thoroughly addressed.
  • Complete assigned tasks and follow-ups, utilizing spreadsheets to track progress.
  • Retrieve EOBs from insurance portals for posting, applying adjustments as necessary.
  • Identify process updates or issues, communicating findings with the team to drive improvement.
Requirements
  • Strong verbal and written English skills, with minimal accent when speaking.
  • Background in dental insurance or collections industries, with a minimum of 3 years of hands-on experience.
  • Highly motivated, detail-oriented, and able to work independently, with strong organizational and time management skills.
  • Excellent interpersonal and communication skills, with a strong command of written and verbal English.

This role requires a high level of professionalism, excellent communication skills, and a background in dental insurance or collections. If you are highly motivated, detail-oriented, and able to work independently, we encourage you to apply.



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