Insurance Follow-up Specialist (Remote)

About the position Responsibilities • Perform accurate and timely claims follow-up and resolution. • Adhere to government regulations, payor contracts, and third-party guidelines when resolving open balances and denials. • Analyze authorizations, claims, and explanation of benefits to identify next steps for payment resolution. • Contact patients or payor representatives to resolve claims and coordinate benefits. • Collaborate with Revenue Cycle Specialists and Corporate Training Teams to identify denial trends. • Notify Manager of insurance plan denials that should be covered based on contract terms. • Research payor and government websites to identify claim requirements for resolution. • Document all follow-up and resolution activities in the practice management system. Requirements • High School Diploma or equivalent; Associates or Bachelor's Degree preferred. • At least three (3) years of dental bill generation and claims processing experience. • Expertise in government, commercial, and/or third-party payor claims submission, denial resolution, and appeals processes. • Knowledge of dental claim requirements and ability to interpret billing guidelines. • Experience with Dentrix Core and Ascend PMS systems. • High attention to detail and accuracy. Nice-to-haves • Experience with Microsoft Word and Excel. • Knowledge of CDT and ICD coding systems. Benefits • Remote work flexibility • Equal Opportunity Employer • Support for a diverse workforce Apply tot his job Apply To this Job