Dental Admin Support, Healthcare Insurance, Billing

•Pre-Authorization Status •Checking Dental Claim Status, navigating tools like NEA, Dental Connect and Dental Exchange if dental narrative and x-ray was attached for claim processing. •Identify the needed document for claims processing and providing claim status. •Escalation reports regarding disputes in claim processing. •Checking Appeals status for unpaid claims. •Investigating claims denial reasons and providing accurate reasons and resolution why claims are denied.

•Checking amount paid for each procedure code. •Checking billing information and updating demographics for billing purposes. •Checking disputes with payments and creating escalation reports for dispute. •Providing detailed information with how claim is paid if this is via paper check or electronic fund transfer.

Ensure that dental staff members' maintain current credentials and licenses to work legally in their field or specialty. These specialists monitor upcoming renewal dates and work with medical staff to advise them of the required steps to maintain their credentials.

Answering high volume inbound calls. The typical daily responsibilities includes verification and investigation of the patients insurance estimates benefit coverage, claims, appeals, documentation of all activities and discusses patient responsibilities and/or patient payment amount, also providing website assistance, troubleshooting and website navigation through the portal.