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Insurance Collections Specialist $1500 Sign-On Bonus

Company: Smile Brands
Location: Santa Barbara
Posted on: January 15, 2022

Job Description:

Company Overview:
Job Description:
Smile Brands, a Glassdoor Top 25 Best Place to Work, is seeking an Insurance Collections Specialist to join our team at the Johnson Family Dental office in Santa Barbara, CA. We are seeking a detail-oriented individual with experience in claims appeals and reviewing EOBs. The ideal candidate will feel comfortable in a fast-paced environment.

  • Calling insurance carriers or any other practical research resources to verify if a claim has been received and what the outcome paid and/or denial reason is

  • Contacting and following up with insurance company representatives

  • Updating all patient accounts to correct inaccurate information i.e. demographics, eligibility dates, termination dates and contract allowance and/or maximum

  • Managing the workflow of assigned accounts and meeting deadlines for filing to obtain maximum reimbursements. Monitoring collections activity for timely payment from all revenue sources

  • Understanding and staying informed of changes with procedures, billing guidelines and laws for specific insurance carriers or payers

  • Following up on any overdue accounts and researching accounts to determine why the balance remains unpaid
  • Auditing insurance claims to identify and provide required attachments and auditing attachments for completeness and suitability

  • Working zero paid or partial paid Explanation of Benefit (EOB) and take action to appeal or properly adjudicate claims

  • Ensuring claim submissions for secondary coverage is within timely filing limits

  • Ensuring responses to claim inquiries and tracing is within timely filing limits

  • Conducting full patient account audits to determine appropriate action
  • Ensuring all dental billing/collection letters are prepared and mailed according to the set schedule

    Required Qualifications:
    What We Need From You

    • Minimum 1 year of experience in a similar role or reviewing claims and appeals
    • A G3 attitude - Greeting, Guiding & Gratitude - in verbal and written communications with internal and external clients
    • Strong customer service and communication skills

      What We'll Offer You

      • Unparalleled support to grow your career
      • A culture that celebrates success and diversity
      • Benefits and perks for you, your family and even your pets!
      • Medical (including HSA and FSA), Dental, Vision, 401K, and paid time off for applicable full-time positions

        Smile Brands Inc. and all relevant Affiliates are Equal Opportunity Employers. We are proud to celebrate diversity and provide an inclusive workplace for all employees.
        DISCLAIMER: Please be aware of suspicious recruiting emails and text messages scams that attempt to collect your personal information. You will never be asked for your driver license or Social Security number during an online interview. Additionally, we do not attempt to collect money, gift cards or request you to purchase.

Keywords: Smile Brands, Santa Barbara , Insurance Collections Specialist $1500 Sign-On Bonus, Accounting, Auditing , Santa Barbara, California

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