Insurance Specialist (Dental and Medical)

Description

Sexton Oral and Maxillofacial Surgery in Memphis is seeking a skilled and committed Dental and Medical Insurance Claims Specialist to join our team and assist us in delivering exceptional care to our patients. 

• Review returned insurance claims and verify correct data elements that will facilitate processing of the claim.
• Work accounts in a thorough and accurate manner. 
• Review correspondence, update the patient account record, and ensure the accurate production of claims. 
• Review and follow up on insurance accounts with outstanding balances.
• Assess and process all correspondence to include EOB’s for provided accounts claim research on insurance online portals.
• Work denials from the billing clearinghouses such as Change Healthcare, Availity, and Exchange Healthcare.
• Follow up on claim appeals after all other efforts for payment have been exhausted as merited by insurance company.
• Identify and correct billing errors and convey issues to the billing team.
• Review and prepare resubmission of claims for manual and/or electronic billing.
• Print and mail claim forms as necessary for account resolution.
• Promptly answer phones in a courteous and friendly manner following call quality program standards.
• Document discussions from all patient phone calls.
• Process correspondence from patient statements.
• Accurately processes patient payments.
• Communicate payment guidelines and set up recurring patient payments.
• Contact insurance companies and lab companies by phone, fax, and written correspondence to resolve issues preventing claims from being processed correctly.
• Communicate with coding staff to verify claims have been coded correctly.
• Work with lead billing specialist to improve patient accounts.

Requirements

• 2+ years of experience in Dental and/or Medical Insurance.
• Excellent analytical, interpersonal, organizational and communication skills.
• Always maintain the highest level of confidentiality to HIPAA standards.
• Must maintain a professional demeanor and attitude.
• Must be detail oriented in order to maintain accurate records, account balances, and financial reporting.
• Demonstrate excellent communication skills by conveying information effectively. 
• Specialized understanding and experience in handling insurance and billing matters in a medical setting.
• Excellent computer skills and ability to use practice software systems.  

Benefits Opportunities

• Medical 
• Dental
• Vision
• Life Insurance
• Long and Short-Term Disability
• Paid Time Off
• 401(k) with Company Match

If you are a team player with a passion for providing excellent patient care, we encourage you to apply for this exciting opportunity.