PRINCIPAL DUTIES AND RESPONSIBILITIES:
Meet deadlines and productivity standards for processing work files, including but not limited to:
- Insurance verification
- Correspondence & phone inquiries
- Billing/mailing claims
- Working claim edits
- Reprocessing insurance denials and submitting all necessary documentation for payment
- Third party follow-up including secondary billing & rejections
- Special projects
- Posting payments
- Demonstrate proficiency with a variety of automations, including but not limited to Microsoft Word, Excel, E-mail, Voice-mail and Payor Websites.
- Participate in continuous quality improvement efforts on an ongoing basis.
- Establish goals with the Administrative Coordinator and track progress.
- Comply with hospital confidentiality policy. Manage special projects as assigned.
Dental Group Specific Duties:
- Enter and submit all insurance claims via web-based submission system.
- Process insurance denials for all insurance carriers for payment.
- Verify patient eligibility.
- Write-off all old patient balances and insurance claims that are past the filing deadline.
- Call insurance companies to resolve issues with payments and claim information.
- Submit all requested documentation to insurance companies to facilitate the payment of claims.
- Sort and mail statements to patients (includes overdue letters).
- Generate treatment plan letters for big cases and discuss financials with patients.
- Work with Dental Fee Plan to coordinate payment of services for patients with loans from Dental Fee Plan.
QUALIFICATIONS:
- Bachelors degree or equivalent recommended. At least 1 year experience in high volume dental billing and Billing/Accounts Receivable systems required.
- Knowledge of Dental Practice Management software systems preferred. Knowledge of EPIC preferred.
- Effective communication, organizational and problem-solving skills
- Detailed working knowledge of dental terminology, and dental CPT codes required
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
- Effective communication, organizational and problem-solving skills
- Ability to manage multiple tasks/projects simultaneously
- Demonstrated PC and electronic data processing skill
Job Details
SAPRO was founded to support businesses achieve and exceed their set targets in all of their back-office departments, to convert opportunities into results, to bring happiness to their internal and external stake holders and make their lives more fulfilling. After working for over a decade for companies like Cisco, Vodafone, VimpelCom and others, Shaun and Arslan decided to provide much-needed innovative services of off-shore back-office processes outsourcing with a remarkable quality and an unmatched pricing. In 2016, SAPRO was setup with just a single client and now we are providing one of the most comprehensive global business solutions for increasing revenues for the businesses and creating sustainable growth. SAPRO is leading the off-shore Business Management movement, making talent more accessible and opportunity more achievable.
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