Insurance Specialist

Procom
Chapel Hill, NC, US
Full-time

Insurance Specialist Intro :

This Insurance Specialist position at UNC Adams School of Dentistry is an essential role focused on the management of both dental and medical insurance processes.

The role demands a detailed understanding of billing, reimbursement, and compliance with insurance standards, making it ideal for candidates with experience in dental or medical insurance environments.

Insurance Specialist Job Details :

The primary responsibilities include filing dental insurance claims, preparing pre-treatment estimates, securing necessary clinical documentation for claims processing, and managing denied claims and appeals.

The specialist will also be responsible for maintaining accurate patient records, auditing billing and coding, and ensuring all clinical documentation is complete.

Additionally, the role involves direct communication with patients and providers to resolve insurance-related inquiries and facilitate in-house payment arrangements in compliance with school policies.

Insurance Specialist Mandatory Skills :

  • Proficient in dental and medical terminology, and procedural / diagnostic coding.
  • Experienced in medical-dental cross-coding and electronic claims processing.
  • Strong understanding of insurance policies, contracts, and HIPAA compliance.
  • Ability to manage accounts receivable and navigate insurance billing and reimbursement.

Insurance Specialist Desired Skills :

  • Excellent problem-solving and communication skills.
  • Ability to work effectively in a team and independently.
  • Demonstrated ability to handle multiple tasks and prioritize effectively.
  • Accessible and patient-oriented approach in dealing with inquiries and concerns.

Insurance Specialist Location :

This onsite position is based in Chapel Hill, North Carolina, United States.

30+ days ago
Related jobs
MCI, LC
NC, US

We are seeking a Licensed Life and Health Insurance Specialist who will play a vital role in educating and guiding customers to select the insurance policies that best meet their needs. Licensed Life and Health Insurance Specialist. Provide information to customers about various healthcare options a...

CopperPoint Insurance Company
NC, USA

CopperPoint Mutual Insurance Holding Company is the corporate parent of Arizona-based CopperPoint Insurance Companies, California-based Pacific Compensation Insurance Company, Alaska National Insurance Company, and other CopperPoint Insurance Entities. Employees and their families are eligible to pa...

Brown & Brown Insurance
NC, US
Remote

Arrowhead Automotive is a division of Brown & Brown Insurance, the sixth-largest insurance broker in the U. Our specialized approach offers access to business insurance programs via our program administrator, Arrowhead General Insurance Agency, Inc. Business Development Specialist. This position req...

Affordable Dentures & Implants
Morrisville, North Carolina

The Senior Community Partners/Insurance Specialist’s focus is to support the insurance services team in a variety of tasks to ensure the team functions in an efficient and effective manner. This position is key to keep up with insurance portal creation, EFT registrations, and the administration of t...

Global Pharma Tek
Chapel Hill, North Carolina

The duties of this position include filing dental insurance claims and pre-treatment estimates for privately insured patients; obtaining and providing the clinical documentation necessary for claims processing, x-rays, chart notes and letters of necessity; investigating certain denied claims, follow...

Brown & Brown Insurance
NC, US
Remote

Winston Benefits, a Brown & Brown company, is seeking a Benefits Specialist to join our call center team!A Benefit Specialist is responsible for the day-to-day servicing of clients. Mail voluntary insurance product brochures, applications, service request forms and claim forms as. Offer voluntary in...

Capleo Global LLC
Chapel Hill, North Carolina

This Insurance Specialist position performs both dental and medical insurance services for the client. The Insurance Specialist position works in all areas of billing and reimbursement from private dental insurance companies as well as Managed Care companies. Job Title: Insurance Specialist. The pos...

Mass Markets
NC, US

We are seeking a Licensed Life and Health Insurance Specialist who will play a vital role in educating and guiding customers to select the insurance policies that best meet their needs. Licensed Life and Health Insurance Specialist. Provide information to customers about various healthcare options a...

Professional Career Solutions
Chapel Hill, North Carolina

Health insurance reimbursement. ...

501 CSAA Insurance Services, Inc.
North Carolina, United States
Remote

We're Mobilitas, a commercial insurance company created by CSAA Insurance. We’re excited to push the boundaries of commercial insurance and are looking for enthusiastic team members to help us reimagine insurance. Our mission is to reinvent commercial insurance in the mobility space by providing tec...