Claims Specialist
Budget / Salary$22–25
TypeFull-time job
LocationUnited States
Posted2 hours ago
Overview
Position Purpose:
Responsible for providing support to doctors, practices, and Revenue Cycle teams with high-level insurance claim issue resolution.
Starting Wage: $22-25 per hour
Responsibilities
Essential Job Duties:
Proactively work open insurance claims to ensure prompt processing
Work aging report to ensure unpaid claims have been received and are in process with payers
Improve claim flow by working with Insurance Specialist to proactively identify and resolve claim handling issues
Read and interpret payer explanation of benefits to verify claims adjudicated in accordance with contract guidelines
Appeal and follow up on denied insurance claims as assigned
Review, identify, and resolve payer denials
Provide payers’ requested additional information to allow claim processing
· Resolve electronic claim rejections
In practice management system, correct and resubmit claims stopped by our clearinghouse
Correct and resubmit claims rejected by payer clearinghouse
Personal and Professional Responsibilities:
Effectively communicate and develop a strong working relationship with the Doctors and all Team Members and promote teamwork through cooperative and professional behaviors
Create an environment which promotes trust, open communication, creative thinking, and team collaboration
Assume responsibility for personal professional growth through internal and external training opportunities and continuing education offerings
Follow and demonstrate commitment to the Park Dental policies, professional expectations, and Service Excellence Standards
Serve as an example and representative of the organization by demonstrating behaviors consistent with Park Dental and The Dental Specialists Mission, Vision, and Values
Tools and Technology:
Practice Management, dental EDI experience and knowledge
· Claims and/or dental familiarity
Proven systems aptitude and strong MS Office skills (Excel, Access and Word).
Familiarity with insurance company website
A quick study of new systems and software tools and a willingness to embrace technology to improve productivity
Required Skills/Qualifications:
Possess strong communication skills and the ability to develop constructive and cooperative working relationships with others, striving for collaboration and demonstrating professionalism
High skill level of interpreting a variety of payers’ explanation of benefits
Understands coordination of benefits guidelines in depth
Ability to manage multiple activities simultaneously with minimal direction, while relying on experience and judgment to plan and accomplish goals
· Detail oriented and well-organized
Self-motivated and the ability to work independently
Able to effectively deal with multiple locations, variety of internal customers, and patient situations
Education and Knowledge:
Minimum two-year associates degree, bachelor’s degree preferred
Familiarity with Dental and Medical insurance claims
Experience with verbal and written communication to healthcare professionals and patients
Work Schedule
Monday through Friday 8am-5pm (hours are flexible)
Position is remote! Applicants must currently reside in Minnesota, Arizona, or Wisconsin to be considered for this role.*
Company Information
Benefits
Park Dental offers competitive compensation, and generous benefits package including medical, vision, dental, PTO, holiday pay, 401k matching, and continuing education opportunities.
Community
Park Dental values being involved in the community through volunteer events, such as Minnesota Dental Association's Give Kids a Smile Day, the American Heart Association Heart Walk, and Minnesota Mission of Mercy. Each practice participates in events in their local communities too!
About Park Dental
Since 1972, Park Dental has been owned and led by our doctors who are passionate about providing the best patient-centered care. New team members receive comprehensive training and one-on-one mentoring to set you up for success. Our practices offer welcoming environments for patients, and are equipped with state of the art technology.
"As a dental hygienist with Park Dental, we have the opportunity to engage patients in the process of improving and maintaining their oral health, which in turn leads to over-all health." -Berit Campbell, DH Mentor
"Like" our Park Dental careers page on Facebook for the latest updates about Park Dental!
Park Dental is an equal opportunity employer.
Originally posted on Himalayas
Position Purpose:
Responsible for providing support to doctors, practices, and Revenue Cycle teams with high-level insurance claim issue resolution.
Starting Wage: $22-25 per hour
Responsibilities
Essential Job Duties:
Proactively work open insurance claims to ensure prompt processing
Work aging report to ensure unpaid claims have been received and are in process with payers
Improve claim flow by working with Insurance Specialist to proactively identify and resolve claim handling issues
Read and interpret payer explanation of benefits to verify claims adjudicated in accordance with contract guidelines
Appeal and follow up on denied insurance claims as assigned
Review, identify, and resolve payer denials
Provide payers’ requested additional information to allow claim processing
· Resolve electronic claim rejections
In practice management system, correct and resubmit claims stopped by our clearinghouse
Correct and resubmit claims rejected by payer clearinghouse
Personal and Professional Responsibilities:
Effectively communicate and develop a strong working relationship with the Doctors and all Team Members and promote teamwork through cooperative and professional behaviors
Create an environment which promotes trust, open communication, creative thinking, and team collaboration
Assume responsibility for personal professional growth through internal and external training opportunities and continuing education offerings
Follow and demonstrate commitment to the Park Dental policies, professional expectations, and Service Excellence Standards
Serve as an example and representative of the organization by demonstrating behaviors consistent with Park Dental and The Dental Specialists Mission, Vision, and Values
Tools and Technology:
Practice Management, dental EDI experience and knowledge
· Claims and/or dental familiarity
Proven systems aptitude and strong MS Office skills (Excel, Access and Word).
Familiarity with insurance company website
A quick study of new systems and software tools and a willingness to embrace technology to improve productivity
Required Skills/Qualifications:
Possess strong communication skills and the ability to develop constructive and cooperative working relationships with others, striving for collaboration and demonstrating professionalism
High skill level of interpreting a variety of payers’ explanation of benefits
Understands coordination of benefits guidelines in depth
Ability to manage multiple activities simultaneously with minimal direction, while relying on experience and judgment to plan and accomplish goals
· Detail oriented and well-organized
Self-motivated and the ability to work independently
Able to effectively deal with multiple locations, variety of internal customers, and patient situations
Education and Knowledge:
Minimum two-year associates degree, bachelor’s degree preferred
Familiarity with Dental and Medical insurance claims
Experience with verbal and written communication to healthcare professionals and patients
Work Schedule
Monday through Friday 8am-5pm (hours are flexible)
Position is remote! Applicants must currently reside in Minnesota, Arizona, or Wisconsin to be considered for this role.*
Company Information
Benefits
Park Dental offers competitive compensation, and generous benefits package including medical, vision, dental, PTO, holiday pay, 401k matching, and continuing education opportunities.
Community
Park Dental values being involved in the community through volunteer events, such as Minnesota Dental Association's Give Kids a Smile Day, the American Heart Association Heart Walk, and Minnesota Mission of Mercy. Each practice participates in events in their local communities too!
About Park Dental
Since 1972, Park Dental has been owned and led by our doctors who are passionate about providing the best patient-centered care. New team members receive comprehensive training and one-on-one mentoring to set you up for success. Our practices offer welcoming environments for patients, and are equipped with state of the art technology.
"As a dental hygienist with Park Dental, we have the opportunity to engage patients in the process of improving and maintaining their oral health, which in turn leads to over-all health." -Berit Campbell, DH Mentor
"Like" our Park Dental careers page on Facebook for the latest updates about Park Dental!
Park Dental is an equal opportunity employer.
Originally posted on Himalayas
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