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Jobs At InterDent

The CBO Claims Resolution Specialist position is primarily responsible for supporting the clinics with insurance related issues.
This includes (but is not limited to) insurance payment research, insurance balances account analysis, insurance benefits research,
work queue follow-up and general claim processing.

ESSENTIAL DUTIES AND RESPONSIBILITIES:
· Works the CBO Work Queue related to claims not yet paid
· Troubleshoots and processes ECS rejections daily to ensure 100% acceptance by insurance companies
· Runs claim form types queues in QSI so that claims that need special attachment or attention are sent as soon as possible
· Prints Form Type 9 and Form Type 10 claims for mailing out/processing
· Processes the Secondary Claims via the Secondary Unbilled report
· Reviews and resolves items on the daily Term Doctor Report
· Reviews and resolves items on the daily “Not Billed” report
· Reviews and resolves missing payments requests from the clinics for their region(s)
· Audits off-shore postings via exception reporting to resolve errors
· Answers questions from the clinics regarding any of the above
· Project work as assigned by supervisor.

KNOWLEDGE, SKILLS AND ABILITIES:
· Thorough understanding of dental billing practices and procedures, including knowledge of state, local and federal laws
· Strong knowledge of reimbursement rules and methodologies for billing

KEY COMPETENCIES:
· Fluent in Excel, Word, Outlook, typing and number entry accuracy
· Must have a high level of attention to detail and good proofreading skills
· Must have excellent tracking and follow up skills
· Must maintain confidentially of all records
· Able to prioritize and adapt to high pressure situations and frequent changes
· Able to work without constant management oversight
· Experience with QSI software a plus

EDUCATION / EXPERIENCE
· Clerical or Administrative Assistant experience
· Dental Office experience a plus
 
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