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Insurance Specialist

Insurance Specialist

Golden TechnologyChapel Hill, NC, US
30+ days ago
Job type
  • Full-time
Job description

Our client is looking for an Insurance Specialist to join their team! This position will provide dental and medical insurance services and work in all areas works in all areas of billing and reimbursement, including private dental insurance companies and managed care organizations. This position will require extensive communication with various insurance companies, along with effective use of insurance portals. Responsibilities of this role include :

  • Filing dental insurance claims and pre-treatment estimates for privately insured patients
  • Obtaining and providing the clinical documentation necessary for claims processing, such as x-rays, chart notes, and letters of necessity
  • Investigating denied claims, following up on those investigations, and submitting appeals for those denied claims
  • Verifying essential documentation including insurance cards, insurance explanations of payment, provider narratives, and insurance consent
  • Regularly auditing patient records for accuracy and completeness of billing, coding, and clinical documentation.

Top skills you need to have :

  • Specialized knowledge of insurance industry standards related to billing and reimbursement
  • A strong understanding of accounts receivable.
  • Comprehensive understanding of dental and medical terminology, dental procedural and diagnostic coding, medical-dental cross-coding, electronic claims processing, and policies and contracts of multiple insurance vendors.
  • Effective communication and deductive reasoning are essential skills
  • Compliance with HIPAA regulations
  • About Golden Technology

    Golden Technology was founded in 1997 with the goal of developing people and driving innovation. In other words, our aim is to pair world-class technologists like you with amazing companies that are doing impactful work.

    After an initially slow start, and way too many late nights playing Final Fantasy 7, Golden Technology built a unique recruiting engine that would quickly prove itself to deliver top-tiered talent to fortune 500 clients across the US, time and time again.

    Golden Technology has built a culture around family and helping the people we touch succeed in both their work and personal lives. Oh, everyone says that? Try us, you'll see it.

    We're helping people find their calling and their dream jobs; and through our Golden Community initiatives we are actively working to improve the communities in which we work, live, and play.

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    Insurance Specialist • Chapel Hill, NC, US