Healthcare Insurance Claims Specialist

This is a remote position.

Job Description

Embark on an exciting career as an Insurance Claims Follow-up Specialist in a dynamic dental practice environment. This role offers a unique opportunity to blend your analytical skills with customer service expertise, directly impacting the practice’s financial health and patient satisfaction. You’ll be at the forefront of ensuring timely reimbursements and maintaining positive relationships with insurance providers. Your attention to detail and persistence will be key in navigating the complex world of insurance claims, making a real difference in patients’ lives by facilitating their access to essential dental care.

Responsibilities

• Spearhead the follow-up process for pending insurance claims, employing strategic communication to ensure timely processing and payment
• Act as a liaison between the practice and insurance companies, skillfully resolving claim issues and overcoming obstacles to reimbursement
• Implement and maintain an efficient tracking system for outstanding claims, proactively managing the status of each case
• Conduct in-depth analysis of claim denials or delays, developing and executing targeted strategies to address and resolve issues
• Collaborate with the billing team to update patient accounts with accurate claim status information, ensuring transparency and improving patient communication
• Stay at the forefront of insurance industry trends and policy changes, continuously updating your knowledge to optimize claim outcomes
• Contribute to the development of best practices for claims management, enhancing the overall efficiency of the practice’s financial operations

Requirements

• Proven track record in insurance claims processing or medical billing, preferably within a dental or healthcare setting
• Exceptional communication skills, with the ability to articulate complex information clearly to both colleagues and insurance representatives
• Demonstrated attention to detail and capacity to manage multiple high-priority tasks in a fast-paced environment
• Proficiency in dental or medical terminology, with the ability to quickly learn and adapt to new industry-specific language
• Advanced skills in utilizing computer systems and software related to claims processing, with a knack for learning new technological tools
• Strong problem-solving abilities and a proactive approach to identifying and resolving claim issues
• Ability to work independently while also collaborating effectively with a diverse team of healthcare professionals
• Commitment to maintaining the highest standards of patient confidentiality and adhering to HIPAA regulations
• Flexibility to adapt to changing priorities and willingness to take on additional responsibilities as the practice grows

• With HMO Coverage for eligible locations
• Permanent work from home
• Immediate hiring
• Steady freelance job