Medical Billing Claims Follow-up Specialist

Job Description

Job Description

Salary : $18-$25 / hour

About Devdent : At Devdent, we are dedicated to transforming dental practices by streamlining medical billing processes, enabling them to focus on delivering exceptional patient care. Our mission is to elevate health through dentistry by improving access to care, ensuring financial stability for our clients, and empowering patients to receive vital treatments. We foster a collaborative, growth-driven environment for our team, offering tailored training, mentorship, and opportunities to thrive in a dynamic industry.

Job Summary : The Medical Billing Claims Follow-Up role is a critical link between medical insurance companies and our dental office clients, ensuring accurate and timely processing of medical claims. This position focuses on optimizing revenue collection, resolving billing discrepancies, and maintaining clear communication with all stakeholders. Were looking for a detail-oriented professional with experience in medical claims, comfortable navigating payer portals, and knowledgeable about insurance processes.

We are seeking an experienced medical billing claims follow-up specialist to assist with outstanding claims and revenue cycle management. Your primary responsibility will be to track and resolve unpaid claims while ensuring accurate documentation and communication with insurance providers. Ideal candidates will have a strong understanding of medical billing processes and excellent problem-solving skills. If you are detail-oriented and can work independently to ensure timely payments, we want to hear from you!

Key Responsibilities :

• Claims Management : Track and monitor claim submissions to ensure timely processing and reimbursement. Correct rejected claims, appeal denials, and verify billing accuracy.
• Issue Resolution : Identify and resolve claim denials or discrepancies using critical thinking, coordinating with insurance providers and dental offices to address delays or issues without constant oversight.
• Communication : Act as the primary point of contact between insurance companies and clients, providing updates, verifying benefits, and facilitating claim payments.
• Benefits Verification : Confirm patient insurance coverage, including deductibles, copays, coinsurance, and out-of-pocket maximums, to ensure accurate billing.
• Claim Review : Review claims for accuracy, manage processing and investigations, and provide clients with regular progress updates. Accurately read and interpret Explanation of Benefits (EOBs) to resolve claim issues.
• Payer Portal Navigation : Submit and manage claims through payer portals such as Availity, Change Healthcare, and others, ensuring accuracy and efficiency.
• Administrative Duties : Update claim statuses in Imagn software, research appeals and denials, and fax medical records or other required documentation.
• Team Collaboration : Work with team members on claim reviews, update daily work tracking sheets, and assist with tasks like checking faxes, emails, and case statuses.
• Workload Management : Prioritize tasks, make calls to insurance providers to check claim statuses, and handle assigned tasks during slower periods.
• Financial Optimization : Maximize revenue collection by minimizing claim denials and ensuring the financial health of client practices.

Required Skills & Qualifications :

Why Join Devdent?

How to Apply : Please submit your resume and a brief cover letter. We are excited to learn how your skills and passion align with our mission!

Equal Opportunity Employer : Devdent is committed to creating a diverse and inclusive workplace. We encourage applications from candidates of all backgrounds.