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Claims Specialist

Posted: February 28, 2025
Salary:US$18.5 - US$22 per hour
Location:Carrollton
Job type: Contract
Discipline:Revenue Cycle
Reference:234957_1740789364
Work Location:On-site

Job description

One of the nations largest Dental Support Organization has 3 openings for talented and motivated Dental Aging Claims Specialists! A huge growth opportunity with the fastest-growing dental partnership organization in the country. Apply if qualified and interested!

- In office position; 5 month contract to hire role

- 2+ Years of Medical/Dental Accounts Recievable experience preferred

- 2+ years of Medical/Dental experience required

Responsibilities

  • Research and correct any claim discrepancies for assigned partner offices.
  • Directly address all insurance denials received. (within 3 business days or less)
  • Communicate directly with partner offices to request any additional information needed for claim payment.
  • File secondary claims as needed with supporting documentation.
  • Insurance aging report roll up for all partner offices.
  • Registration and maintenance of online portals for Insurance companies.
  • Follow up and resolve all communication requests. (responses within 48 hours or less)
  • Ensure personal achievement of productivity standards and performance metrics as directed by supervisor.
  • Complete other projects as assigned.

Qualifications

  • Understanding of dental insurance and claims processing.
  • Dentrix, Eagle Soft, Easy Dental or Open Dental software experience preferred.
  • Great oral and written communication skills.
  • Strong attention to detail.
  • Typing/Data entry skills.
  • Understanding of billing and appeals process.
  • Ability to prioritize workload to achieve set time lines/goals.
  • Ability to work independently as well as with a team.
  • MS Office Suite knowledge is a plus.

PPO - more phone base and less access to Insurance portals

  • Max 55 claims
  • Min 45 claims

Medicaid -more insurance portal base but yes, we still call insurance companies.

  • Max 65 claims
  • Min 55 claims
Schedule: Monday through Friday; 8 AM to 5 PM

Attire: Business Casual

How do you apply? Click "Apply" OR or email your resume!

Medix - Anticipating Needs. Exceeding Expectations.


Please apply online if qualified and interested!

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.