Job Description
Role Description
- The Claims Submission Specialist is responsible for maintaining clean claim submission of their assigned offices. This role will be key to building and maintaining positive relationships with the practice teams to ensure maximum results are achieved.
- Identify problem accounts, trends in claim issues and escalate them as appropriate.
- Update patient account records.
- Research and identify coding or clinical documentation issues working to correct errors in a timely manner for maximum reimbursement.
- Provide training assistance if needed to new and existing team members.
- Where applicable, utilize Dental Xchange attachments, Apteryx bridge, and OverJet for electronic document submission with claim.
- Understand practice-level responsibilities.
- Understand insurance verification responsibilities.
- Actively support the company’s culture and business mission by always putting the organization’s people and its customers first.
- Expected to work all scheduled work days, during scheduled hours and report to work on time.
- Other special projects or responsibilities as assigned.
- Qualifications
- Minimum of two (2) years’ experience in Dental Billing/Coding.
- Solid background with commercial insurance companies required.
- Proven understanding of Explanation of Benefits forms, claim forms and insurance billing process.
- Must be able to build positive relationships with team members and outside clients.
- Ability to work independently and with others in a fast-paced environment.
- Excellent verbal, written and interpersonal communication skills required.
- Experience with Open Dental, M/S office products including Word, Excel, Outlook.
- Proficient use office applications and able to adapt to and embrace new applications and programs.
- Benefits
- Comprehensive Benefits: Including 401(k).
- Paid Time Off: Competitive PTO that grows with your career.
- Career Growth: Opportunities for continuing education and development.
- Exciting Work Environment: A supportive atmosphere that celebrates individuality and teamwork, allowing you to thrive.
Company Description
We embrace diversity and are committed to creating an inclusive workplace. All qualified applicants will receive consideration for employment without regard to race, color, ancestry, religion, sex, sexual orientation, gender identity, age, national origin, disability, veteran status, or any other legally protected characteristic.
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