Key Facts

Remote From:

Philippines

Full time

Mid-level (2-5 years)

English

Hard Skills

Grievance Arbitration Scanner Troubleshooting Accounts Receivable Internal Communications

Other Skills

•
Professionalism
•
Time Management
•
Organizational Skills
•
Detail Oriented
•
Verbal Communication Skills
•
Social Skills
•
Self-Motivation

SuperStaff

About SuperStaff

SuperStaff is a comprehensive outsourcing solutions provider dedicated to delocalizing your workforce, reimagining your systems and model, and putting cost savings to work to grow your enterprise. Founded in 2009, we launched our suite of services with technical specialist offerings like programming, design, and information technology. We’ve since expanded to add customer-facing services like customer support, and more recently, recruitment support. Led by a team of experts in outsourcing, we understand both the day-to-day challenges of business and how to address them as part of the big picture to support growing companies. Because successful outsourcing is about more than just reducing your overhead. It’s about breaking free of boundaries and adding real value through exceptional people and service. WHAT MAKES US DIFFERENT SuperStaff was established specifically to service our parent company in 2009. We grew as an extension of a family owned business and now service an enterprise that is the largest of its kind in the private sector. The company itself dates back to the 1930’s, but our utilization of technology leads the industry and reflects our focus on innovation which is our staying power. Because of our humble roots, we can connect with smaller businesses that want to grow and dominate their industries, because your story is our story too.

Company type: SME

Founded: 2018

Company size: 201 - 500

Website LinkedIn See all jobs →

Job description

As a Dental Claims Specialist, you will play a critical role in delivering exceptional service to our customers. You will be responsible for managing and processing claims, resolving issues, and providing support to our clients while upholding our commitment to quality and integrity

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 any insurance process updates/issues and communicate findings with the team. that insurances are open while working
Required to remain professional at all times, observing work ethics and adhering to the work time schedule
Expected to hit the desired goal and accomplish all tasks in a timely manner.
Expected to communicate with the manager in the absence of any attendance issues

Requirements

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