Claims Specialist

Overview Position Purpose: Responsible for providing support to doctors, practices, and Revenue Cycle teams with high-level insurance claim issue resolution. Starting Wage: $22-25 per hour Responsibilities Essential Job Duties: Proactively work open insurance claims to ensure prompt processing Work aging report to ensure unpaid claims have been received and are in process with payers Improve claim flow by working with Insurance Specialist to proactively identify and resolve claim handling issues Read and interpret payer explanation of benefits to verify claims adjudicated in accordance with contract guidelines Appeal and follow up on denied insurance claims as assigned Review, identify, and resolve payer denials Provide payers’ requested additional information to allow claim processing · Resolve electronic claim rejections In practice management system, correct and resubmit claims stopped by our clearinghouse Correct and resubmit claims rejected by payer clearinghouse Personal and Professional Responsibilities: Effectively communicate and develop a strong working relationship with the Doctors and all Team Members and promote teamwork through cooperative and professional behaviors Create an environment which promotes trust, open communication, creative thinking, and team collaboration Assume responsibility for personal professional growth through internal and external training opportunities and continuing education offerings Follow and demonstrate commitment to the Park Dental