Dental CBO Specialist

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🔥 1 hour ago

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Logo of Dayforce

Dayforce

5001 - 10000 employees

👥 HR Tech

☁️ SaaS

🏢 Enterprise

💰 $1G Post-IPO Debt - Dayforce on 2024-03

HR Tech • SaaS • Enterprise

Dayforce is a cloud-based human capital management (HCM) platform from Ceridian. It provides a unified, single-application solution for payroll, HR, workforce management (time & attendance, scheduling), benefits, and talent management, delivered as a SaaS product to organizations to manage the employee lifecycle and payroll processes.

📋 Description

• Working all claims over a certain time frame. • Status all open claims and do the work either via the portal or making phone calls to see why the claims are not paid. • RCM team is responsible for doing every step possible to complete a claim and get it paid. • If a claim needs to be re-submitted then the RCM Specialist will be responsible for submitting the claim with all needed attachments and information needed. • Communicate with the offices effectively and send completed reports to the offices so they will know what they are responsible for working and what our team has assisted them with.

🎯 Requirements

• Ability to interpret and effectively communicate insurance regulations. • Excellent verbal and written communication skills. • Excellent problem-solving skills. • Well organized, accurate, and thorough. • Adaptable; readily adjusts work schedule to adhere to changes in the work environment and is able to manage competing demands. • Proficiency in all Microsoft Office products. • HS Diploma degree required; advanced degree preferred. • Minimum three-five years commercial insurance or Medicaid experience preferred. • Experience in medical or dental practice preferred. • Proficiency in a Microsoft Windows environment. • Proficiency with dental or medical software; Dentrix preferred.

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