
Dental Claims Process Manager
17 hours ago
We are seeking a highly motivated and detail-oriented professional to manage and process claims, resolve issues, and provide exceptional service to our customers.
Key Responsibilities:
- Follow up on outstanding insurance claims and ensure all follow-ups are properly documented and communicated.
- Send out claims and attachments to insurance companies.
- Determine denial validity and address them appropriately.
- Generate reports and ensure timely completion.
- Resubmit and reprocess claims, including grievance and appeals.
- Clear rejected claims on a weekly basis.
- Update the office tracker with payments posted and rejected claims addressed.
- Complete all assigned follow-ups and generate reports.
- Retrieve electronic statements from insurance portals and post 100% of payments.
- Identify insurance process updates/issues and communicate with the team.
Requirements:
- Strong command of verbal and written English, with little to no accent when speaking.
- Background in dental insurance or collections industries.
- 3+ years of hands-on experience in collections.
- Highly motivated, detail-oriented, and able to work independently as a remote position requires.
- Outstanding organizational, time management, and follow-up skills.
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