Responsibilities
- Review and process dental claims submissions
- Verify claim information for accuracy and completeness
- Ensure claims adhere to regulatory and company guidelines
- Communicate with dental providers and patients regarding claims status
- Resolve discrepancies and issues related to claims processing
- Maintain accurate records of claims and related documentation
- Collaborate with internal teams to improve claims processing efficiency
- Prepare and submit reports on claims processing activities
- Identify and address trends in claims denials or rejections
- Provide support to team members on complex claims issues
- Participate in training and development activities to stay current with industry standards
- Assist in the implementation of new claims processing systems or procedures
- Monitor and track claims processing metrics and key performance indicators
- Handle inquiries from dental providers and patients regarding claims status
- Ensure timely and accurate payment of approved claims
- Conduct regular audits of claims processing activities to ensure compliance
- Work with legal and compliance teams to address regulatory changes
- Provide feedback on claims processing workflows and suggest improvements
- Assist in the resolution of appeals and disputes related to claims denials
- Maintain confidentiality and security of patient and claims information
- Support the team in achieving departmental goals and objectives
- Participate in special projects and initiatives as assigned
- Contribute to a positive and collaborative team environment
- Stay updated with industry trends and best practices in claims processing
Nice to Have
- Bachelor's degree in a related field
- Certification in dental claims processing or a related area
- Experience with dental insurance companies
- Knowledge of dental practice management software
- Experience with claims processing in a large organization
- Familiarity with dental insurance regulations and compliance
- Experience with claims processing in a multi-state environment
- Knowledge of dental insurance networks and provider contracts
- Experience with claims processing in a high-volume setting
- Familiarity with dental insurance claims adjudication processes
- Experience with claims processing in a dental group practice
- Knowledge of dental insurance claims appeals and disputes
- Experience with claims processing in a dental specialty practice
- Familiarity with dental insurance claims fraud detection and prevention
- Experience with claims processing in a dental managed care organization
- Knowledge of dental insurance claims coordination of benefits
- Experience with claims processing in a dental preferred provider organization
- Familiarity with dental insurance claims subrogation and recovery
- Experience with claims processing in a dental health maintenance organization
- Knowledge of dental insurance claims utilization review and management
Compensation
Competitive
Work Arrangement
On-site
Team
Dental claims team
What We Offer
- Competitive salary and benefits package
- Opportunities for professional development and growth
- Supportive and collaborative work environment
- Comprehensive training and onboarding program
- Access to industry-leading technology and tools
- Employee assistance programs and wellness initiatives
- Performance-based bonuses and incentives
- Flexible work schedules and time-off policies
- Tuition reimbursement and educational assistance
- Employee recognition and reward programs
- Opportunities for career advancement and promotion
Our Culture
- Commitment to excellence and continuous improvement
- Focus on patient care and satisfaction
- Dedication to teamwork and collaboration
- Emphasis on integrity and ethical behavior
- Support for work-life balance and employee well-being
- Encouragement of innovation and creativity
- Promotion of diversity, equity, and inclusion
- Investment in employee development and growth
- Fostering a positive and respectful work environment
- Encouragement of open communication and feedback
How to Apply
- Submit your resume and cover letter online
- Include relevant experience and qualifications
- Highlight your skills and achievements in claims processing
- Provide references and contact information
- Include any certifications or licenses
- Submit any additional supporting documents
- Complete the online application form
- Follow up with the hiring manager if needed
- Prepare for an interview and assessment
- Follow the application instructions carefully
- Ensure all required documents are submitted
- Check the status of your application regularly
- Provide any additional information requested
- Complete any pre-employment screening
- Follow up with the hiring team after the interview
- Provide any additional references or recommendations
- Complete any required background checks
- Follow up with the hiring manager after the offer
- Complete any required onboarding paperwork
- Follow up with the hiring team after the start date
Not provided
