Dental Claims Specialist - Remote

Overview

As a Dental Claims Specialist, you will play a critical role in delivering exceptional service to our customers. You will be responsible for managing and processing claims, resolving issues, and providing support to our clients while upholding our commitment to quality and integrity.

In Short

• Follow-up status of outstanding insurance claims.
• 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.
• Complete all follow-ups assigned.
• Generate EFT reports and retrieve EOBs from insurance portals.
• Insurance payment posting and adjustments.

Requirements

• Professionalism and adherence to work ethics.
• Ability to communicate effectively with management.
• Timely completion of tasks and goals.

Benefits

• Opportunity to work remotely.
• Supportive team environment.