Dental Insurance Collections

Dental Insurance Collections Specialist
Evenflow Solutions has a client in Frisco that is searching for a goal-oriented and energetic Insurance Collections Specialist to add to their team.
About the position:

• This will be a Full-time contract position in Frisco. (3-6 month contract with the possibility of converting over to perm with the company after the first of the year)
• We offer a Full Benefits Package while you are under contract
• Hybrid position working 2 days in office and 3 days remotely
• 8:00 am-5:00 pm Monday through Friday

Job Responsibilities:

• Must have Insurance Collections Experience (preferably in an Orthodontic or Dental Setting)
• MUST HAVE Appeals and Denials Experience dealing with Insurance Companies and government agencies
• High school diploma or GED required
• Minimum of 4 years related experience in Medical Insurance Collections; healthcare, dental or orthodontic office, customer service required

Job Requirements

• The Insurance Collections Specialist is responsible for resolving claim delays from various payer products, identifying problem accounts, process and trends and escalating as appropriate
• Resolve claim processing delays from various payer products including HMO, PPO, Medicaid, Medicare
• Researching Denials and taking appropriate action to resolve those claims
• Submitting Appeal Letters to Insurance Companies on claims that have been denied
• Effectively utilize ERA payment information to identify trends and make recommendations
• Be able to utilize various data sources to drive decisions
• Work with vendors and other organizations when needed to resolve open accounts receivable
• Articulate any payment delays to representatives from healthcare payer companies and government agencies
• Contact payer companies via phone or correspondence and initiates request for payment
• Escalate Payer lack of response and/or lack of payment within Payer organization as appropriate
• Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective argument
• Utilize effective documentation standards that support a strong historical record of actions taken on the account

Evenflow Solutions (ES) is an Equal Opportunity Employer. ES provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law.