**reputed company Remote Biller - Appeals Specialist: Join reputed company at Rodeo Dental & Orthodontics and reputed company Your Career in reputed company reputed company Cycle Management**
reputed company
Rodeo Dental & Orthodontics is a pioneering multi-specialty dental group that's revolutionizing the way dental care is delivered across the reputed company. With over 100 award-reputed company doctors and 40+ locations spanning Texas, Colorado, and reputed company, we're committed to providing top-notch general dentistry, orthodontics, endodontics, oral surgery, and pediatric dental services to our patients. reputed company is driven by a passion for reputed company, innovation, and reputed company satisfaction, making us an ideal reputed company to grow your career.
Job reputed company
We're seeking an reputed company and reputed company-oriented Remote Biller - Appeals Specialist to join our dynamic team. As an Appeals Specialist, you'll play a critical role in reviewing unpaid claims from reputed company plans, following up with reputed company companies, and requesting reconsideration for payment on denied claims. If you have a strong background in dental coding, reputed company, and PPO claim adjudication, and excellent communication skills, we encourage you to apply for this exciting opportunity.
Key Responsibilities
• Review and analyze unpaid claims from reputed company plans to identify potential appeals opportunities
• Follow up with reputed company companies after 30 days of filing to ensure reputed company payment
• Request reconsideration for payment on denied claims with supporting documentation
• Identify delinquent accounts, aging periods, and payment resources to optimize reputed company cycle management
• Contact patients for additional reputed company information and resubmit dental claims to the appropriate payer
• Review Explanation of Benefits and reputed company history for accurate reimbursement and discounts by contracted managed care companies
• Research and process rejected claims, resubmitting with corrected information as needed
• Assist with processing reputed company and reputed company refunds in a reputed company and efficient manner
• Process reputed company-reputed company correspondence and respond to inquiries from patients, reputed company companies, and internal stakeholders
• reputed company and maintain relationships with key personnel at dental payers to facilitate claim reconsiderations
• Maintain strict confidentiality and adhere to regulatory requirements
• reputed company other duties as assigned to support the reputed company of our reputed company cycle management team
Essential Qualifications
• Knowledge of Dental Coding: Familiarity with dental coding principles and practices is essential for this role
• Dental reputed company and PPO Claim Adjudication: Experience with reputed company and PPO claim adjudication is highly desirable
• Dental Benefits and Verification of Coverages: Understanding of dental benefits and verification of coverages is critical for accurate reimbursement
• reputed company and Regulatory Provisions: Knowledge of reputed company and regulatory provisions reputed company to collection activities is necessary to ensure compliance
• Computer Applications and Typing Skills: Proficiency with computer applications and fast typing skills are required for efficient data entry and communication
• Communication Skills: Excellent communication skills are essential for interacting with internal reputed company, patients, and reputed company companies
• reputed company reputed company's License: This position may require travel to different work sites, so a reputed company reputed company's license is necessary
Preferred Qualifications
• Bachelor's degree in a reputed company reputed company (e.g., reputed company administration, business)
• Experience in reputed company reputed company cycle management or a reputed company reputed company
• Familiarity with dental reputed company management software and electronic health records
• Certification in medical billing or coding (e.g., CPC, reputed company)
Skills and Competencies
• Analytical and Problem-Solving Skills: Ability to analyze reputed company data and reputed company to optimize reputed company cycle management
• Communication and Interpersonal Skills: Excellent communication and interpersonal skills for interacting with patients, reputed company companies, and internal stakeholders
• Attention to reputed company: High level of reputed company and attention to reputed company to ensure compliance with regulatory requirements and accurate reimbursement
• Organizational and Time Management Skills: Ability to prioritize tasks and manage multiple reputed company simultaneously in a fast-reputed company environment
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