Job Application for Insurance Claims Processor at Elite Dental Partners

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Job Summary

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Job Responsibilities

Review each claim for assigned offices for accuracy of provider of service, claim billing address, dental code utilized as reflected in clinical notes and proper patient information (name, dob, subscriber ID, etc)
Identify procedures that need attachments (x-rays, periodontal charting and narratives). Make sure all required attachments are attached as required before claim is sent
Ensure all claims are sent within 24 hours of service date
Responsible for all claims for assigned offices to be resolved within 30 days
Research, track and document in a clear and concise manner claim status and reasons for any delay in claim adjudication
Analyze and interpret existing file notes and coverage documentation to competently respond to claim rejections or requests for additional information
Handling of difficult or non-routine claims and adjustment projects by partnering with Office Managers and Support Center Staff
Analysis, tracking and trending of claim issues and payor payment cycles to improve internal processes
Perform other duties as assigned

Required Education and Experience

High School Diploma
At least 3 years dental claims experience
2-3 years previous leadership experience

Qualifications

Knowledge of Dentrix Core and Ascend PMS systems
Microsoft Excel Creation and basic functional working knowledge
High attention to detail and accuracy
Ability to meet set quota expectations

Physical Requirements

Sitting and typing for long periods

The above statements are intended to provide a general overview and level of work being performed by most people assigned to this job. They are not intended to be a list of all responsibilities, duties and requirements. Additional duties can be assigned as determined.

Elite Dental Partners is an Equal Opportunity Employer. We support a diverse workforce.

Hourly rate

$23 - $25 USD

We take great pride in helping our communities be healthier, feel better, and smile with confidence. Daily, we are driven by our vision to provide an elite patient experience tailored to their needs to receive the best care possible.

Not only do our team members find it rewarding to help patients be healthier, but they also enjoy being part of an organization that supports their growth. Our commitment to professional development and promoting internally when appropriate allows for tremendous career opportunities.

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For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.

As set forth in Elite Dental Partners’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.

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A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

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Insurance Claims Processor

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