Remote Dental Insurance Collections Specialist

Description:

Dental Insurance Collections Specialist Job Overview

The Insurance Collections Specialist is responsible for coordinating with insurance carriers to ensure the receipt of outstanding insurance claim payments, and performs a variety of insurance billing, data entry, and duties including, but not limited to generating and billing out claims and benefits eligibility verification. Follow-up on claims payment status averaging around 25-35 accounts per day.

Dental Insurance Collections Specialist Qualifications

• PPO billing
• Insurance collections
• Recordkeeping
• Appealing claims
• Payment posting
• Claims examining
• Ensuring insurance accounts are in good standing.
• Tracing of claims
• Submit/resubmit to insurance carriers.
• Electronic and paper billing
• Proficient in HMO/PPO/Denti-Cal guidelines
• Batching claims
• Accounts receivable
• Dentrix
• Auditing accounts
• Dental terminology

Dental Insurance Collections Specialist Responsibilities and Duties

• Maintain individual office Insurance Accounts Receivable at an acceptable level as outlined by Management
• Review patients' accounts to ensure accuracy on insurance billing and procedures performed
• Read and analyze various internal reports that contain claims and insurance information
• Provide auditors, billers, posters, and other insurance collections specialists with assistance in the follow-up of outstanding claims payments.
• Process attachments through Dentrix
• Use various on and offline methods to trace outstanding claims payments
• Use interpersonal and communications skills to obtain claims approval and payment information from various carriers
• Communicate issues and suggestions to improve processes
• Participate in committees, special projects, staff meetings, and team huddles as requested
• Maintains an appropriate professional appearance and demeanor in accordance with Company policies
• Ensure compliance with Company policies, as well as State, Federal and other regulatory bodies
• Other duties as assigned by the Office Manager, Regional Manager, and/or Leadership team

Dental Insurance Collections Specialist Education

• A high school diploma or general education degree (GED) required

Dental Insurance Collections Experience

• At least 1 year of related work experience in a dental setting
• Electronic billing experience preferred

Benefits

Dental Views offers Medical, Dental, Vision, 401K, and vacation time.

PI202959284