Specialist, Insurance Collections
Responsibilities
- Maintain individual office Insurance Accounts Receivable at an acceptable level as outlined by PDS
- Review patients’ accounts to ensure accuracy on insurance billing and procedures performed
- Read and analyze various internal reports that contain claims and insurance information
- Provide auditors, billers, posters, and other insurance collections specialists with assistance in the follow-up of outstanding claims payment
- Process attachments through National Electronic Attachments (NEA)
- Use various on and offline methods to trace outstanding claims payments
- Use interpersonal and communications skills to obtain claims approval and payment information from various carriers
- Maintain an appropriate professional appearance and demeanor in accordance with Company policy
- Other duties as assigned by management
Qualifications
Equivalent to high school diploma or general education degree (GED)
Preferred
- EPIC knowledge
- Associate’s or Bachelor’s Degree or a one-year certificate from an accredited college or technical school; or equivalent combination of education and experience
- Experience in medical or dental setting
- Ability to interpret Explanation of Benefits
Knowledge / Skills / Abilities
- Ability to multi-task effectively without compromising the quality of the work
- 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
- Ability to respond to common inquiries from team members, dental offices and other members of the business community
- Self-motivated, reliable individual capable of working independently as well as part of a team
Benefits
- Medical, dental, and vision insurance
- Paid time off
- Tuition Reimbursement
- 401K
- Paid time to volunteer in your local community
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