Dental Claims Specialist

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🔥 12 minutes ago

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SuperStaff

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2009

💼 Consulting

🛍️ eCommerce

🎯 Recruiter

Consulting • eCommerce • Recruitment

SuperStaff is an outsourcing provider with talent hubs and call centers located in the Philippines, Colombia, and the United States. They specialize in building fully engaged leased teams and providing customized BPO solutions. Their services include multilingual support, customer service outsourcing, recruitment process outsourcing, e-commerce outsourcing, and knowledge process outsourcing. With a focus on cost-efficiency and scalable processes, SuperStaff helps businesses expand their talent pools, reduce operational costs, and improve performance across various functions. Their commitment to transparency and high performance drives their partnerships with global businesses.

📋 Description

• 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

🎯 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

🏖️ Benefits

• HMO with 1 free dependent upon hire (with Dental coverage) • Life Insurance • 20% Night Differential • 20 PTO credits annually • Great Company Culture • Career Growth and Learning • Equipment provided • Night Shift • Work from home