Dental Claims Specialist

4 days ago


St Louis, Missouri, United States Beacon Hill Full time
About the Role

Beacon Hill is seeking a highly skilled Dental Claims Specialist to join our team. As a key member of our insurance processing team, you will be responsible for ensuring the smooth and efficient processing of dental claims.

Key Responsibilities
  • Claims Processing: Review and process dental claims submitted for payment, ensuring accuracy and compliance with company policies and procedures.
  • Investigation and Release: Investigate and release claims that suspend for system edits, making additional claim payments when necessary.
  • Refund Requests: Submit refund requests for over-payments discovered during the claims processing cycle.
  • Predetermination Processing: Process claims submitted for predetermination, reviewing x-rays and making benefit determinations or referring claims to consultants for decision.
Requirements

To be successful in this role, you will need:

  • Excellent Communication Skills: Strong written and verbal communication skills to effectively interact with clients, colleagues, and management.
  • Attention to Detail: High level of accuracy and attention to detail to ensure claims are processed correctly and efficiently.
  • Organizational Skills: Ability to prioritize tasks and manage multiple claims simultaneously in a fast-paced environment.
About Beacon Hill

Beacon Hill is a leading provider of staffing solutions, delivering coordinated staffing services with unparalleled service, a commitment to project completion, and a passion for innovation, creativity, and continuous improvement. Our niche brands offer a complete suite of staffing services to emerging growth companies and the Fortune 500 across market sectors, career specialties, and industries.



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