Insurance Claims Specialist

19 hours ago


Wilmington, Delaware, United States Riccobene Associates Family Dentistry Full time
Job Summary

Riccobene Associates Family Dentistry is seeking a highly skilled Insurance Claims Specialist to join our team. As an Insurance Claims Specialist, you will be responsible for managing the accounts receivable process for an assigned group of payors or supported region/company.

Key Responsibilities:

  • Process claims accurately to secure timely payment.
  • Respond to inquiries, questions, and concerns from patients regarding the status of claims in a clear, concise, and courteous manner.
  • Conduct follow-up and submit reimbursement appeals for unpaid and/or inappropriately paid claims.
  • Identify, research, and ensure timely processing of billing errors and corrections as they relate to claims.

Requirements:

  • Associate's degree (A.A.) or equivalent from an accredited college, university or technical school; or three to five years related experience and/or training; or equivalent combination of education and experience.
  • Previous high-volume collections experience with PPO's, Worker' Comp, Medicare and Medicaid strongly preferred.
  • Working knowledge of CPT and ICD-10 codes.
  • Previous experience and demonstrated ability to thrive in a production-driven environment.
  • Excellent time management & multi-tasking skills.
  • Proficiency with Microsoft Outlook suite of products; demonstrated aptitude for learning new software programs.
  • Superior verbal and written communication skills.


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