Dental Claims Specialist

Summary

Join our team as a Dental Claims Specialist and play a vital role in providing exceptional customer service. You will manage and process dental insurance claims, resolve issues, and support clients while maintaining high quality standards. This remote position requires strong communication, organizational, and time management skills, along with experience in dental insurance or collections. The ideal candidate will be highly motivated, detail-oriented, and able to work independently. We offer competitive compensation, benefits including HMO with dental coverage and life insurance, paid time off, and opportunities for career growth.

Requirements

• Strong command of verbal and written English and interpersonal skills. Little to no accent when speaking
• Background in the Dental insurance or collections industries
• 3+ years of hands-on collections experience
• Highly motivated, detail-oriented, able to work independently as this is a remote position
• Outstanding organizational, time management and follow-up skills

Responsibilities

• Follow-up status of outstanding insurance claims, make sure all follow-ups are properly documented and communicated by always adding a notation to the patient’s account (using the track stat and commlog)
• Send out claims and attachments to insurance
• Determine denial validity and properly address them
• Generate OI reports and ensure monthly completion
• Claim resubmission and reprocessing, including grievance and appeals
• Clear rejected claims on a weekly basis
• Update weekly office tracker to include all payments posted (check scans and EFTs) and if all rejected claims were addressed
• Complete all follow-ups assigned (on the office spreadsheets)
• Generate EFT reports and retrieve EOBs from insurance portals for posting 100%
• Insurance payment posting - follow office preference, always upload EOB, and apply. correct adjustment/WO
• Identify any insurance process updates/issues and communicate findings with the team. that insurances are open while working
• Required to remain professional at all times, observing work ethics and adhering to the work time schedule
• Expected to hit the desired goal and accomplish all tasks in a timely manner
• Expected to communicate with the manager in the absence of any attendance issues

Benefits

• HMO with 1 free dependent upon hire (with Dental coverage)
• Life Insurance
• Night Shift/20% Night Differential
• 20 PTO credits annually
• Great Company Culture
• Career Growth and Learning
• Work from home
• 30,000 - 32,000 salary/month