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26 days old

Dental Claims Processor

Kelly Services
Phoenix, AZ 85067
Kelly Services has partnered with a growing eye care, dental, and hearing company as they currently have 6 (six) remote openings for dental claims processors. These are contract opportunities slated to last 3+ months. There is a potential opportunity for top performers to convert into a permanent employee.


Please review the description below and apply now!


Essential Job Functions:


Understand companys contracts and performance requirements, claims processing workflow and payment process.


Enter claim and pre-authorization data accurately and timely and adjudicate claims submitted via electronic submission


Conducting reviews of pre-treatment requests by provider to authorize the recommended treatment, in accordance with company UM procedural guidelines, or to refer the case to a Dental Director or consultant for a professional clinical review.


Handling of difficult or non-routine claims and adjustment projects


Resolving escalated claims through research, tracking and trending of issues to improve internal processes


Voids, refunds and recoupment


Testing and implementation of system changes and updates


Thorough knowledge of diagnostic and procedural coding for dental claims.


Skilled use of company systems and applications for claims adjudication and research of provider, member, and utilization management data.


Timely and accurate processing of dental claims as required in contractual and regulated time frames.


Apply policies and procedures to confirm that claims meet the criteria for payment as indicated in contractual guidelines.


Attendance in team meetings related to claims processing reviews and updates for company policies and procedures, audit findings, and other related communications.


Ability to meet or exceed quality, accuracy, and production standards as determined by the company


Other duties as assigned


Requirements:


Prior claims processing experience preferred


Associates degree in a related field is preferred; High School Diploma or GED is required


Knowledge of Medicare, Medicaid, and Commercial insurance


CDT Dental Procedure Codes


Strong skills using Microsoft applications and other windows-based tools


Ability to read, write, and communicate at a professional level


Ability to manage multiple tasks and prioritize work


Effective time management and organizational skills


Ability to work overtime as needed


Type of role: Contract


Pay: $16.50+ /hr


Location: Remote opportunity, work from home for duration


Please call Gabby directly at 817-873-8382


**Why Kelly** **** **?**


As a worker today, its up to you to take charge of your career and look for opportunities to learn, grow, and achieve your potential. Helping you find whats next is what were all about. We know whats going on in the evolving world of workjust ask the 440,000 people we employ each year. Connecting with us means getting the support, guidance, and opportunities needed to take your career where you may have never imagined.


**About Kelly** ****


At Kelly, were always thinking about whats next and advising job seekers on new ways of working to reach their full potential. In fact, were a leading advocate for temporary/nontraditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable a better way to work and live (plus, did we mention we provide a ton of benefits ?). Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety of workstyles, skill levels, and industries around the world.


Kelly is an equal opportunity employer committed to employing a diverse workforce and providing accommodations for people with disabilities in all parts of the hiring process as required under its Employment Accommodation Policy. Kelly will work with applicants to meet accommodation needs that are made known to Kelly in advance.

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Posted: 2021-05-19 Expires: 2021-06-19

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Dental Claims Processor

Kelly Services
Phoenix, AZ 85067

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