Park Dental

  • Claims Specialist

    Job Locations US-MN-Roseville
    ID
    2018-1408
  • Overview

    Position Purpose:

    Responsible for providing support to the Doctors, Practices, and Accounts Receivables Team with follow up on open and denied insurance claims.

    Responsibilities

    Essential Job Duties:

    1. Proactively work open insurance claims to ensure prompt processing:
    • Work aging report to ensure unpaid claims have been received and are in process with payers
    • Improve claim flow by working with Claims Team to proactively identify and resolve claim processing issues
    • Finalize resolved claims in practice management system to release first party billing
    1. Read and interpret payer explanation of benefits and verify claim adjudication in accordance with contract guidelines.
    1. Appeal and follow up on denied insurance claims:
    • Review, identify and resolve claim denials
    • Prepare and submit appeals for denied claims, monitor and track results
    • Provide requested additional information to facilitate claim processing
    • Monitor denials by reason, provider and payer
    1. Resolve electronic claim rejections:
    • Correct and resubmit claims stopped by internal clearinghouse
    • Correct and resubmit claims rejected by payer’s clearinghouse
    1. Create, update and maintain insurance plans for billing in practice management system:
    • Test payer IDs before releasing plans to the practices
    1. Submit pre and retro authorization requests for planned and rendered services.
    1. Personal and Professional Responsibilities:
    • Effectively communicate and develop a strong working relationship with the Doctors and all Team Members and promote teamwork through cooperative and professional behaviors
    • Create an environment which promotes trust, open communication, creative thinking, and team collaboration
    • Assume responsibility for personal professional growth through internal and external training opportunities and continuing education offerings

    Work Schedule

    Monday through Friday 8am-5pm

    Company Information

    Benefits

    Park Dental offers competitive compensation, and generous benefits package including medical, vision, dental, PTO, holiday pay, 401k matching, and continuing education opportunities.

     

    Community

    Park Dental values being involved in the community through volunteer events, such as Minnesota Dental Association's Give Kids a Smile Day, the American Heart Association Heart Walk, and Minnesota Mission of Mercy. Each practice participates in events in their local communities too!

     

    About Park Dental

    Since 1972, Park Dental has been owned and led by our doctors who are passionate about providing the best patient-centered care. New team members receive comprehensive training and one-on-one mentoring to set you up for success. Our practices offer welcoming environments for patients, and are equipped with state of the art technology.

     

    "As a dental hygienist with Park Dental, we have the opportunity to engage patients in the process of improving and maintaining their oral health, which in turn leads to over-all health." -Berit Campbell, DH Mentor

     

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    Park Dental is an equal opportunity employer.

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