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12 days old

Dental Claims Processors

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 companies 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 Avesis.

+ 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


APPLY TODAY ~or~ email your resume directly to Melissa.Thornton@kellyservices.com for immediate consideration.


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


Youre looking to keep your career moving onward and upward, and were here to help you do just that. Our financial staffing experts will connect you with premier companies for opportunities where you can learn, grow, and thrive. Jobs that fit your skills and experience, and most importantly, fit right on your path of where you want to go in in your career. It all adds up.


**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: 2021-04-30 Expires: 2021-05-31

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Dental Claims Processors

Kelly Services
Phoenix, AZ 85067

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