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.

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

• 20% Night Differential
• 20 PTO credits annually

Great Company Culture

Career Growth and Learning

Equipment provided

Night Shift

Work from home

PHP 30,000 - PHP 33,000 all in

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SuperStaff is a comprehensive outsourcing solutions provider offering call center services offshore in the Philippines, nearshore in Colombia, and onshore in the United States.

Initially a captive market for its mother company, servicing the health and biopharma sectors for decades, SuperStaff diversified internationally. Three years ago, we managed to grow in size and expand our service portfolio. As we gain competencies in multiple industry verticals, we extend our clout in servicing start-ups and Forbes-ranked enterprises with back-end support and transformative BPO solutions.