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Dental Claims Specialist
SuperStaff. Follow-up status of outstanding insurance claims, make sure all follow-ups are properly documented and communicated by always adding a notation to the patient’s account (using the track stat and commlog) .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in insurance claims processing, including follow-up, denial management, and payment posting, while maintaining strong organizational and communication skills in a remote work environment.
Highest-signal resume keywords
Insurance Claims ProcessingDenial ManagementPayment PostingCollections ExperienceOrganizational Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims Follow-UpClaim ResubmissionEFT ReportingOI ReportingDocumentation Management
Soft Skills
Verbal CommunicationWritten CommunicationInterpersonal SkillsTime ManagementDetail-Oriented
Tools & Technologies
Insurance PortalsOffice SpreadsheetsTrack StatCommlog
Industry Keywords
Dental InsuranceCollections IndustryGrievance ManagementAppeals Process
About the role
Key responsibilities & impact- Follow-up status of outstanding insurance claims, make sure all follow-ups are properly documented and communicated by always adding a notation to the patient’s account (using the track stat and commlog)
- Send out claims and attachments to insurance
- Determine denial validity and properly address them
- Generate OI reports and ensure monthly completion
- Claim resubmission and reprocessing, including grievance and appeals
- Clear rejected claims on a weekly basis
- Update weekly office tracker to include all payments posted (check scans and EFTs) and if all rejected claims were addressed
- Complete all follow-ups assigned (on the office spreadsheets)
- Generate EFT reports and retrieve EOBs from insurance portals for posting 100%
- Insurance payment posting - follow office preference, always upload EOB, and apply correct adjustment/WO
- Identify insurance process updates/issues and communicate findings with the team
- Remain professional, observe work ethics, and adhere to the work time schedule
- Hit desired goals and accomplish tasks in a timely manner
- Communicate with the manager regarding attendance issues
Requirements
What you’ll need- Strong command of verbal and written English and interpersonal skills. Little to no accent when speaking
- Background in the Dental insurance or collections industries
- 3+ years of hands-on collections experience
- Highly motivated, detail-oriented, able to work independently as this is a remote position
- Outstanding organizational, time management and follow-up skills
Benefits
Comp & perks- HMO with 1 free dependent upon hire (with Dental coverage)
- Life Insurance
- Night Shift/20% Night Differential
- 20 PTO credits annually
- Great Company Culture
- Career Growth and Learning
- Work from home