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Claims Resolution Specialist

2 months ago


Sandy, United States InterDent Service Corporation Full time
Job Title: CBO Coordinator - Claims Resolution Specialist

InterDent Service Corporation is a leading provider of dental services, supporting 180 dental offices across 8 western states. We are seeking a highly skilled CBO Coordinator - Claims Resolution Specialist to join our team.

Job Summary:

The CBO Coordinator - Claims Resolution Specialist is responsible for supporting our clinics with insurance-related issues. This includes insurance payment research, insurance balances account analysis, insurance benefits research, work queue follow-up, and general claim processing.

Key Responsibilities:
  • Follows up with insurance companies and patients to ensure payment on claims
  • Works the CBO Work Queue related to claims not yet paid
  • Runs claim form type in QSI
  • Troubleshoots and processes ECS rejections daily to ensure 100% acceptance by insurance companies
  • Reviews and resolves missing payments requests from the clinics for their region(s)
  • Answers questions from the clinics regarding any of the above
  • Researches patient accounts for opportunities to collect back balances when needed
  • Assigns accounts to the collection agency when needed
Requirements:
  • Experience with dental billing and insurance claims is required
  • Thorough understanding of dental billing practices and procedures, including knowledge of state, local and federal laws
  • Strong knowledge of reimbursement rules and methodologies for billing
  • Able to communicate billing discrepancies and questions
  • Fluent in Excel, Word, Outlook, typing (50+ WPM) and number entry accuracy
  • Must maintain confidentiality of all records
  • Experience with QSI software a plus
Location:

Vancouver Corporate Office

Pay Information:

$20.00 per hour/DOE