Claims Processing Representative

Job Summary:

This position will be responsible for handling the day to day functions related to the successful processing of dental insurance claims. This position is responsible for processing payments to accounts according to company policies. The role will complete all phases of Claims Processing training and will be required to meet set deadlines and departmental standards of accuracy.

Essential Duties & Responsibilities:

• Post fundamental payer payments as assigned
• Follow denial protocols and procedures to correct or adjust claims
• Communicate clearly and concisely via telephone or email
• Assist with departmental admin duties
• Post patient payments to accounts
• Other tasks as requested by direct Manager

Knowledge, Skills & Abilities:

• Must possess high degree of professionalism and adaptability
• 10-Key & Alpha Numeric Data Entry with speed and accuracy               
• Effective verbal and written communications, including active listening skills and skill in presenting findings and recommendations
• Proficient in the use of end-user computer applications regarding productivity (MS Word, Excel, Outlook), Windows file management, database, electronic health/medical records and patient billing and other medical information systems
• Team Player
• High level of detail orientation and organizational skills
• Basic math and analytical abilities
• Ability to work independently and professionally in a high volume environment
• Ability to maintain confidentiality
• Must have predictable and consistent attendance

Education & Experience: 

• High school diploma or GED
• Experience in medical billing systems a plus
• Understanding of Medicare / Medicaid laws, managed care, and commercial health insurance a plus

GEDC is committed to diversity and inclusion and is proud to be an equal opportunity employer. All qualified applicants are welcomed and encouraged to apply.