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Claims Resolution Specialist
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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
- 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
Vancouver Corporate Office
Pay Information:$20.00 per hour/DOE