Dental Claims Specialist

7 days ago


Irving Texas, United States PDS Health Full time
About the Role

PDS Health is seeking a highly skilled and detail-oriented Dental Claims Specialist to join our team. As a key member of our billing department, you will be responsible for ensuring accurate and timely submission of dental claims to insurance providers.

Key Responsibilities
  • Process and submit dental claims electronically and via mail
  • Request additional information from offices as needed to facilitate claim submission
  • Send out claims and maintain accurate billing notes
  • Process requests from offices via email and phone
  • Print electronic claims reports and make necessary corrections
  • Send out re-submitted claims and bill lab claims with attached lab slips
  • Run weekly reports for unbilled insurances and process attachments through NEA
  • Collaborate with auditors and claim tracers to resolve claim issues
  • Provide exceptional customer service to affiliated dental practices
  • Maintain a professional appearance and demeanor in accordance with company policies
  • Ensure compliance with company policies, state, federal, and regulatory bodies
Requirements
  • Equivalent to high school diploma or general education degree (GED)
  • Minimum 2 years of experience in a dental setting
  • EPIC knowledge preferred
Preferred Qualifications
  • Associate, Bachelor's Degree, or one-year certificate from an accredited college or technical school
  • Customer Service Certificate program helpful but not required
Key Skills and Abilities
  • Ability to multitask effectively without compromising quality
  • Excellent interpersonal, oral, and written communication skills
  • Detail-oriented, organized, process-focused, problem-solver, proactive, ambitious, customer-service-focused
  • Ability to draw conclusions and make independent decisions with limited information
  • Self-motivated, reliable individual capable of working independently and as part of a team


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