Hybrid Biller - Appeals Specilaist
On-site · Irving, Texas, United States
Job Summary
The Biller - Appeals is responsible for reviewing unpaid dental insurance claims and following up with payers after 30 days. The role includes requesting reconsideration for payment on denial claims where supporting documentation exists, identifying delinquent accounts, resubmitting corrected claims, processing refunds and insurance-related correspondence, and maintaining confidentiality. The position may require travel to different work sites and an active Driver's License. Requires knowledge of dental coding, Medicaid and PPO adjudication, benefits verification, and regulatory provisions related to collections, as well as strong communication with internal teams, patients, and insurance companies.
Required Qualifications
- Knowledgeable with Dental Coding
- Knowledgeable with Dental Medicaid and PPO claim adjudication
- Knowledgeable with Dental Benefits and Verification of Coverages
- Knowledge of legal and regulatory provisions related to collection activities.
- Skilled with computer applications and fast typing.
- Ability to communicate with internal operations, patients, and insurance companies on all collection matters in a courteous manner.
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