Claims Resolution Representative

Job Summary:

The claims resolution specialist’s primary role is to resolve high volumes of aging insurance claims with payers and providers by calling insurance companies or by utilizing their websites when available. This person should be detail oriented and have the ability to communicate effectively with insurance companies. While it is important to work well with their team it is equally important that they are self-motivated.

Essential Duties & Responsibilities:

• Ability and self-confidence to communicate effectively, and tactfully, to both large insurance company representatives and individual clients
• Resolving high volumes of aging insurance claims
• Other tasks as requested by direct Manager

Education & Experience

• High school diploma or GED
• Bachelor’s degree preferred
• Experience in insurance claims is a plus

Knowledge, Skills & Abilities:

• Analytical and problem solving skills with a passion for detail & accuracy
• Reliability and flexibility with time committed to the position
• Excellent organizational and time management skills
• 3+ years Dental Front Desk or Medical or Dental Claims Processing experience
• Prior experience with insurance or accounts receivable (denied claims)
• High volume, fast-paced office experience a plus
• Proficiency in Microsoft Outlook and Excel
  
  

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