Dental Insurance Claim Professional

7 days ago


Biñan, Calabarzon, Philippines beBeeClaims Full time ₱450,000 - ₱900,000
Dental Claims Specialist

We are seeking a highly motivated and detail-oriented individual to join our organization in the role of Dental Claims Specialist. This critical position involves managing and processing claims, resolving issues, and providing exceptional service to clients while upholding quality and integrity.

Key Responsibilities:
  • Follow-up on outstanding insurance claims, ensuring all follow-ups are properly documented and communicated by adding notations to the account using Track Stat and Comm Log.
  • Send out claims and attachments to insurance companies.
  • Determine denial validity and address them appropriately.
  • Generate OI reports and ensure monthly completion.
  • Resubmit and reprocess claims, including grievances and appeals.
  • Clear rejected claims on a weekly basis.
  • Update the weekly office tracker with payments posted (check scans and EFTs) and confirmed rejection addressed.
  • Complete assigned follow-ups on office spreadsheets.
  • Generate EFT reports and retrieve EOBs from insurance portals for 100% posting.
  • Post insurance payments following office preference, uploading EOBs and applying adjustments/corrections.
  • Identify insurance process updates/issues and communicate findings with the team.
Requirements:
  • Strong verbal and written English skills with minimal accent when speaking.
  • Background in dental insurance or collections industries.
  • At least 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.

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