Dental Claims Specialist
As a Dental Claims Specialist, you will play a critical role in delivering exceptional service to our customers. You will be responsible for managing and processing claims, resolving issues, and providing support to our clients while upholding our commitment to quality and integrity
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- 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
- Night Shift/20% Night Differential
- 20 PTO credits annually
- Great Company Culture
- Career Growth and Learning
- Work from home
Employer questions
- What's your expected monthly basic salary?
- Which of the following types of qualifications do you have?
- How many years' experience do you have as a Claims Specialist?
Company profile
LogiScale Inc. is a different kind of BPO. Its family-owned, USA-based parent company, was founded in 1930 by Benjamin Cohen and has grown steadily, now with over 1,500 USA-based employees and still wholly owned by the Cohen family. In 2009, we built LogiScale to provide BPO services to our parent. And now, we’re providing BPO services to outside clients.
Our Specialty - Small and medium-sized teams
At LogiScale, we specialize in customers that need to deploy small and medium-sized teams. In focusing on smaller engagements, we’re able to provide the individual attention necessary to achieve high-quality results.
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