Dental Claims Resolution Specialist

New
M
MPF FederalHealthcare
U.S.-based employees onlyTemporaryEntry
SalaryAt least 17 USD per hour
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Job Details

Experience
3 years
Required Skills
Microsoft ExcelMicrosoft OfficeData entry

Requirements

  • At least 3 years of claims processing or related experience
  • Strong attention to detail and problem-solving skills
  • Proficiency with Microsoft Office (Excel, Word, Outlook)
  • Ability to work independently and as part of a team
  • Strong written and verbal communication skills
  • Ability to manage multiple tasks and adapt to changing priorities

Responsibilities

  • Enter dental claim information into the claims processing system from paper, portal, or fax submissions
  • Review claims for accuracy and correct OCR or data entry errors
  • Monitor and respond to questions from the claims email queue
  • Assist with resolving claims that fail electronic processing (EDI errors)
  • Track claims issues using spreadsheets to ensure claims are processed within required timelines
  • Research and resolve moderately complex claims issues
  • Follow the full claim lifecycle to ensure claims are processed and resolved properly
  • Communicate with internal teams to resolve claim issues when needed
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At least 17 USD per hour
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