REMOTE POSITION / CLAIMS PROCESSOR

Responsible for providing support to doctors, practices, and Revenue Cycle teams with high-level insurance claim issue resolution.

Starting Wage: $22-25 per hour

Proactively work open insurance claims to ensure prompt processing

Work aging report to ensure unpaid claims have been received and are in process with payers

Improve claim flow by working with Insurance Specialist to proactively identify and resolve claim handling issues

Read and interpret payer explanation of benefits to verify claims adjudicated in accordance with contract guidelines

Appeal and follow up on denied insurance claims as assigned

Provide payers’ requested additional information to allow claim processing

Resolve electronic claim rejections

In practice management system, correct and resubmit claims stopped by our clearinghouse

Correct and resubmit claims rejected by payer clearinghouse

Personal and Professional Responsibilities:

Create an environment which promotes trust, open communication, creative thinking, and team collaboration

Assume responsibility for personal professional growth through internal and external training opportunities and continuing education offerings

Follow and demonstrate commitment to the Park Dental policies, professional expectations, and Service Excellence Standards

Serve as an example and representative of the organization by demonstrating behaviors consistent with Park Dental and The Dental Specialists Mission, Vision, and Values

Practice Management, dental EDI experience and knowledge

Claims and/or dental familiarity

Proven systems aptitude and strong MS Office skills (Excel, Access and Word).

Familiarity with insurance company website

A quick study of new systems and software tools and a willingness to embrace technology to improve productivity

Able to effectively deal with multiple locations, variety of internal customers, and patient situations

Minimum two-year associates degree, bachelor’s degree preferred

Familiarity with Dental and Medical insurance claims

Monday through Friday 8am-5pm (hours are flexible)

*Position is remote! Park Dental offers competitive compensation, and generous benefits package including medical, vision, dental, PTO, holiday pay, 401k matching, and continuing education opportunities.

Community

Park Dental values being involved in the community through volunteer events, such as Minnesota Dental Association's Give Kids a Smile Day, the American Heart Association Heart Walk, and Minnesota Mission of Mercy. Each practice participates in events in their local communities too!

About Park Dental

Since 1972, Park Dental has been owned and led by our doctors who are passionate about providing the best patient-centered care. New team members receive comprehensive training and one-on-one mentoring to set you up for success. As a dental hygienist with Park Dental, we have the opportunity to engage patients in the process of improving and maintaining their oral health, which in turn leads to over-all health."-Like" our Park Dental careers page on Facebook for the latest updates about Park Dental!

Park Dental is an equal opportunity employer.

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