Position Summary

The Claims Specialist is responsible for assisting patients with processing dental insurance claims. Researches and resolves insurance billing issues. You are required to have knowledge in teeth numbers and have a basic understanding in Endodontic procedures.

Work Hours/Shift: Must have availability Monday-Friday 7am-7pm

Travel: Some local travel and flexibility may be required

Working Conditions/Physical Requirements

• Sitting 90%
• Standing/Walking 10%

Responsibilities

• File insurance claims by submitting e-claims and paper claims when necessary.
• Follow-up on all outstanding insurance claims/pre-estimate requests.
• Be knowledgeable in the daily operations
• Exercises discretion and independent judgment regarding coverage and insurance claims and resolves billing disputes with little supervision.
• Specialized understanding and experience in handling insurance and billing matters in a medical setting.
• Processes insurance payments and ensures timely collection from patients and insurers.
• Provide, and complete insurance paperwork and obtain information from patients? insurance provider(s) as needed to ensure payment.
• Actively pursues provision of excellent patient service.
• Must always represent the practice in a professional, pleasant, and cooperative manner.
• Must be able to comfortably and efficiently handle multiple deadlines and task assignments.
• Cross train in other areas of the office
• Must be able to work both independently and cooperatively in team settings.
• Occasionally there may be some travel, by car or plane, required in order to participate in continuing education or seminars.
• Other duties and tasks, as assigned periodically.

Requirements

• Ability to multi-task in a stressful deadline-oriented environment.
• Ability to communicate with coworkers, providers and patients in an effective manner.
• Ability to use a computer and enter data in electronic practice management system.
• Good organizing, coordination and office skills
• Customer service orientation and good phone etiquettes

Benefits

• Dental
• Vision
• Life Insurance
• Disability
• Paid Holidays
• 401k
• Paid Time Off