[Hiring] Claims Coordinator @reputed company

Role 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
• Sends 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
• Calls and follows up with insurance companies on claims issues and non-payments
• Maintains and completes reputed company appeals and requests from insurance companies
• Reviews returned EOBs:
• Denials - manages info needed for appealing claims
• Denials - manages info needed for missing information or attachments
• Corrected claims and/or retractions
• Tracks 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, including knowledge of common insurance codes (e.g., CDT codes) and claim forms (e.g., reputed company dental claim reputed company)
• Detail-oriented to accurately review claims, ensure reputed company necessary information is included, and identify any discrepancies or errors
• Strong communication skills for interacting with patients, dental providers, insurance companies, and other staff members, including both verbal and written communication skills
• Ability to effectively manage and prioritize multiple tasks, such as processing claims, following up on outstanding payments, and resolving claim disputes
• Proficiency with dental reputed company management software and other computer applications used for claim processing and administrative tasks is typically required
• Good customer service skills for addressing inquiries and concerns in a reputed company and empathetic manner
• Ability to troubleshoot issues reputed company to claim processing, billing errors, or insurance coverage discrepancies
• Knowledge of and adherence to legal and ethical guidelines reputed company to patient reputed company (HIPAA) and billing practices is essential

Benefits

• Health and dental benefits
• 401(k)
• Holiday pay
• reputed company time off

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