Claims Processing Representative

What you'll do...

This position will be responsible for handling the day to day functions related to the successful processing of dental insurance claims. This position is responsible for processing payments to accounts according to company policies. The role will complete all phases of Claims Processing training and will be required to meet set deadlines and departmental standards of accuracy.

This position is located at our corporate office in Southfield, MI and requires an onsite presence on Mondays with remote days Tuesday-Friday. Additional onsite presence may be required based on business needs.

What you'll bring to the team...

• Post fundamental payer payments as assigned
• Follow denial protocols and procedures to correct or adjust claims
• Communicate clearly and concisely via telephone or email
• Assist with departmental admin duties
• Post patient payments to accounts
• Other tasks as requested by direct Manager

What we require you have...

• High school diploma or GED
• Experience in medical billing systems a plus
• Understanding of Medicare / Medicaid laws, managed care, and commercial health insurance a plus
• Must possess high degree of professionalism and adaptability
• 10-Key & Alpha Numeric Data Entry with speed and accuracy
• Effective verbal and written communications, including active listening skills and skill in presenting findings and recommendations
• Proficient in the use of end-user computer applications regarding productivity (MS Word, Excel, Outlook), Windows file management, database, electronic health/medical records and patient billing and other medical information systems
• Team Player
• High level of detail orientation and organizational skills
• Basic math and analytical abilities
• Ability to work independently and professionally in a high volume environment
• Ability to maintain confidentiality
• Must have predictable and consistent attendance

About GEDC...

Since 1982, Great Expressions has been at the forefront of dental innovation, setting the standard for exceptional care and unforgettable patient experiences. Now, we're entering a new era of transformation, and we want you to be a part of it. Our recently appointed leadership team brings over a century of collective dental expertise and is backed by dynamic investment support to pave the way for groundbreaking changes. We're channeling our resources and energy into revolutionizing our technology platform, expanding service offerings, and creating a personalized patient experience that goes beyond the expected. At Great Expressions, we're not just transforming dentistry; we're investing in the growth and development of our team. Join us and be a part of a career that blends innovation and professionalism, where your contribution shapes the future of dental excellence.

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