Technical Skills: Insurance Knowledge, Medical Billing Software Proficiency , Data Entry and Record Keeping, HIPAA Certified .
Organizational Skills: Attention to Detail, Time Management, Problem-Solving , Collaboration and Communication.
Experience: 6 months - 1 year
Managed A/R aging (30/60/90+ days) to ensure timely claim resolution and payment collection. Tracked and followed up on insurance claims to prevent delays in reimbursement. Investigated and resolved claim denials, including preparing and submitting appeals. Performed medical coding review and corrected claims prior to resubmission. Navigated multiple insurance portals to verify claim status and payment details. Communicated with insurance representatives via phone to resolve claim issues and expedite payments.
Experience: 5 - 10 years
With thorough understanding and experience of various insurance plans (e.g., PPO, HMO, Medicare, Medicaid) and their coverage policies
Experience: 2 - 5 years
With dental billing software and electronic medical record (EMR) systems Experience in handling regular dental claims, orthodontic claims and IV claims
Experience: 2 - 5 years
Management of reports (e.g., outstanding reports, aging reports for dental claims especially for ortho)
Experience: 2 - 5 years
Monitoring Prior Authorization Status and requesting letter for approval
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