Job ID: 53455
Location: Seneca, South Carolina
Employment Type: Direct Hire
Last Updated: 0 days ago
Responsibilities:
- Prepare, review, and submit dental insurance claims accurately through electronic and paper channels
- Monitor claim status and proactively follow up on outstanding, delayed, rejected, or denied claims
- Investigate and resolve claim discrepancies, underpayments, and reimbursement issues
- Prepare and submit appeals with appropriate supporting documentation
- Verify patient insurance eligibility, benefits, coverage limitations, deductibles, and waiting periods
- Communicate insurance benefits, claim updates, and estimated out-of-pocket costs to patients
- Manage insurance accounts receivable and help reduce outstanding balances through timely follow-up
- Post insurance payments, adjustments, and reconcile insurance accounts accurately
- Ensure proper use of CDT codes and maintain compliant claim documentation
- Maintain accurate patient insurance records and assist with reporting, collections, and other office support activities as needed
- High school diploma or equivalent
- Minimum of 3 years of experience in dental or medical insurance billing, and claims processing
- Experience processing Medicaid claims
- Strong knowledge of dental insurance claims, reimbursement procedures, and benefits verification
- Understanding of CDT coding and dental terminolog
- Proficiency with Microsoft Office
- Experience supporting revenue cycle management initiatives
- Familiarity with a variety of dental insurance carriers and reimbursement guidelines
- Monday to Friday (8am to 5pm)
- 100% onsite
- $24 – $28 hourly
- Medical, Dental, Vision
- PTO
- Company paid holidays
