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Insurance Specialist

Insurance Specialist

EclaroChapel Hill, NC, US
21 days ago
Job type
  • Full-time
Job description

Position Overview :

  • The Insurance Specialist works in all areas of billing and reimbursement, including private dental insurance companies and managed care organizations.
  • This role requires specialized knowledge of insurance industry standards related to billing and reimbursement, along with a strong understanding of accounts receivable.
  • This position collaborates closely with private insurance carriers, particularly those contracted with the clinics.
  • It also requires a comprehensive understanding of dental and medical terminology, dental procedural and diagnostic coding, medical-dental cross-coding, electronic claims processing, and the policies and contracts of multiple insurance vendors.
  • This position will require extensive communication with various insurance companies, along with effective use of insurance portals.

Pay Rate : $18.00-$21.00 / Hour

Responsibilities :

  • The 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; and regularly auditing patient records for accuracy and completeness of billing, coding, and clinical documentation.
  • Effective communication and deductive reasoning are essential skills.
  • Compliance with HIPAA regulations is mandatory.
  • Other duties as assigned.

    • If hired, you will enjoy the following ECLARO Benefits :

  • k Retirement Savings Plan administered by Merrill Lynch
  • Commuter Check Pretax Commuter Benefits
  • Eligibility to purchase Medical, Dental & Vision Insurance through ECLARO

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    Insurance Specialist • Chapel Hill, NC, US