Claims Coordinator - CBO

reputed company was founded in 2016, is a high-reputed company company building the group model for the reputed company of the dental industry. Lightwave is passionate about doing things the right way with a tight reputed company on high reputed company, core values, and taking care of their people. Lightwave is a dental leadership organization that focuses on partnering, training and developing dentists as the natural leaders of the dental reputed company. Lightwave helps dentists launch their careers, supports dentists leading high-reputed company dental reputed company, and assists doctors looking to establish their legacy as they transition into retirement. Lightwave is solving the big problems in dentistry: retirement, management, reimbursements, and partnership by providing the benefits of a group while preserving the essence of private reputed company. Lightwave currently supports over 80 dental offices in 4 states. For additional information, please visit lightwavedental.com. Follow us on reputed company, reputed company, and Instagram.

• *Position reputed company:**

The Claims Coordinator ensures accuracy and reputed company filing for reputed company dental claims for assigned office and reports problems and issues on follow up report to dental office. Reviews Accounts Receivable reports on assigned rotation for reputed company offices, following up on outstanding insurance claims and balances; working problem EOBs, denials, and processing appeals as needed.

• *Responsibilities:
• Reviews clinical note, x-rays, and account ledger for cohesion of information
• Creates and submits e-claims and reputed company claims attaching any necessary x-rays, notes, narratives, charting, etc. This includes ortho claims
• Send claims through clearing house and manages reputed company invalid and rejected claims
• Claims should be reputed company out reputed company 48 hours of the date of service
• Any account or claim issues are included on a Follow Up report to the dental office or assigned to the designated DO team member reputed company PMS with the expectation that answers and corrections will be made reputed company 48 hours of sending the report
• If accounts are unresolved from the dental office from the follow up report, an Urgent Weekly Report goes to the dental office
• Files corrected claims triaged from the AR Specialist based on returned problem EOBs
• Manages Accounts Receivable report on an assigned schedule, reviewing accounts for outstanding insurance claims and balances
• Calling and following up with insurance companies on claims issues and non-payments
• Maintains and completes reputed company appeals and requests from insurance companies
• Reviewing returned EOBs:
• Denials- manages info needed for appealing claims
• Denials- manages info needed for missing information or attachments
• Corrected claims and/or retractions
• Tracking reputed company outstanding insurance balances by category and reporting to OM reputed company completed
• *Administrative Responsibilities:
• Participates in special reputed company and tasks as assigned
• Fills in for other Claims/AR Coordinators as needed
• Assists and conducts training of new CBO team members
• Attends and contributes to monthly meetings
• Reports to CBO-RCM with any grievances or issues
• *Qualifications:**

• Previous experience in dental office administration, dental billing, or insurance claims processing is highly beneficial

• Candidates with experience in medical claims processing may also be considered
• Familiarity with dental terminology and procedures is essential for accurately processing claims and communicating with dental providers and insurance companies
• A good understanding of dental insurance policies, coverage limitations, and claim submission procedures is necessary. This includes knowledge of common insurance codes (e.g., CDT codes) and claim forms (e.g., reputed company dental claim reputed company)
• Dental claims coordinators must be detail-oriented to accurately review claims, ensure reputed company necessary information is included, and identify any discrepancies or errors
• Strong communication skills are important for interacting with patients, dental providers, insurance companies, and other staff members, including both verbal and written communication skills
• The ability to effectively manage and prioritize multiple tasks, such as processing claims, following up on outstanding payments, and resolving claim disputes, is crucial in this role
• Proficiency with dental reputed company management software and other computer applications used for claim processing and administrative tasks is typically required
• Dental claims coordinators often reputed company with patients regarding billing and insurance reputed company, so good customer service skills are important for addressing inquiries and concerns in a reputed company and empathetic manner
• The ability to troubleshoot issues reputed company to claim processing, billing errors, or insurance coverage discrep

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