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Dental Insurance Collections Specialist

Company: The Dental Views
Location: Fullerton
Posted on: March 19, 2023

Job Description:

Description:Dental Insurance Collections Specialist Job OverviewThe 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.Requirements: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 preferredBenefitsDental Views offers Medical, Dental, Vision, 401K, and vacation time.


Keywords: The Dental Views, Fullerton , Dental Insurance Collections Specialist, Accounting, Auditing , Fullerton, California

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