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Insurance Claims Specialist

2 months ago

Aventura, Florida, United States The Dental Care Group Full time
Job Summary

The Dental Care Group is seeking a highly organized and detail-oriented Insurance Specialist to join our team. As an Insurance Specialist, you will be responsible for managing the entire insurance process, from verifying reimbursement to processing claims and reconciling accounts receivable transactions.

Key Responsibilities
  • Review and analyze discrepancy reports to identify and resolve payment discrepancies
  • Bill procedures within two days of service and follow up on past-due accounts
  • Determine the cause of discrepancies and research records to verify payments due and identify changes in enrollment or status
  • Notify insurance/benefit coordinators, policyholders, and others as needed to correct discrepancies or adjust accounts
  • Prepare statements and documents, initiate action for payment of patient refunds, and review and process claims for reimbursement
  • Record accounts receivable transactions, benefit eligibility, and create billing records
  • Review patient accounts and determine appropriate billing distributions
  • Post payments received directly from policyholders and insurance companies
  • Respond to inquiries concerning policies and procedures
Requirements

The ideal candidate will have excellent communication and analytical skills, with the ability to work independently and as part of a team. You will be responsible for managing multiple tasks and priorities, with a focus on maximizing insurance collections and minimizing write-offs.

We offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and detail-oriented individual who is passionate about delivering exceptional patient care, we encourage you to apply for this exciting opportunity.