
Insurance Claims Processor
5 days ago
Job Title: Insurance Claims Processor
">We are seeking a meticulous and organized individual to join our team in processing insurance claims. As an Insurance Claims Processor, you will be responsible for accurately reviewing and posting insurance payments, electronic remittance advices (ERAs), and patient payments into the dental billing software.
">Main Responsibilities:
">- Audit deposits with bank statements and daily payment reports to ensure all payments are accounted for.
- Review Explanation of Benefits (EOBs) and ERAs to identify underpayments, overpayments, and denials.
- Flag and escalate discrepancies or trends in denials or payment issues to the relevant department.
- Post adjustments (e.g., write-offs, contractual adjustments) according to payer contracts and internal policies.
- Maintain the accuracy of patient accounts and balances.
- Collaborate with the appeals or collections team for timely resolution of denied or unpaid claims.
- Maintain HIPAA compliance and patient confidentiality at all times.
- Meet productivity and accuracy goals.
- Collect and download EFTs and ERAs from insurance portals and clearinghouses.
Requirements:
">- A minimum of 2 years of experience with insurance claims processing
- Familiarity with dental management software
- Strong analytical and problem-solving skills
- Excellent communication and interpersonal skills
- Ability to work independently and prioritize tasks effectively
- Full English proficiency
- Microsoft Office skills and proficiency with G-suite (Gmail, Google Calendar, Google Docs, etc)
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