Dental Claims Specialist

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

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• 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 ...