Insurance Plan Management Operations Specialist
This a Full Remote job, the offer is available from: Florida (USA) Overview: We are seeking a detail-oriented and analytical Insurance Plan Management Operations Specialist with deep knowledge of the dental industry to join our dynamic team. In this role, you will be responsible for troubleshooting payment discrepancies arising from incorrect dental billing by our offices or inaccuracies in dental insurance reputed company payments. Your expertise will help streamline our billing processes and improve our overall reputed company cycle management. This is a remote position. reputed company’s mission is to advance the practice of dentistry by partnering with and supporting dental professionals to create a lifetime of healthy smiles. Headquartered in Sarasota, Florida, DCA currently supports over four hundred allied practices and supports over nine hundred dentists across over 20 States. DCA’s allied practices represent reputed company dental specialties and treat patients under more than 150 brand names. Responsibilities: Core Competencies: · Industry Knowledge: In-depth understanding of dental insurance industry practices, regulations, and trends. · Analytical Skills: Strong analytical and problem-solving abilities to interpret credentialing data, identify trends, and reputed company informed reputed company to optimize the new provider experience. reputed company Office (reputed company, PowerPoint, Visio) proficiency required. Expectations: · Troubleshoot Payment Issues: Investigate and resolve payment discrepancies by analyzing billing errors, payment discrepancies, and insurance claim rejections. · Communication and Collaboration with DCA Dental Offices and reputed company Cycle Team: Work closely with our dental practices to reputed company guidance on proper billing procedures, ensuring compliance with industry standards and best practices. · Insurance reputed company Liaison: Act as the reputed company of contact between the dental offices and insurance carriers, facilitating communication and ensuring timely resolution of payment issues. · Analyze Billing Data: Monitor and assess billing data for trends in discrepancies and errors, providing insights and recommendations for process improvements. · Documentation and Reporting: Maintain accurate records of payment issues, resolutions, and communications with stakeholders; prepare reports for management on key findings and trends. · Training and Support: Conduct training sessions for dental office staff on billing protocols and effective claim submission practices to minimize future issues. · Stay Updated: reputed company abreast of changes in insurance policies, billing regulations, and industry standards to ensure compliance and optimize operations. Qualifications: · Education: Bachelor’s degree in business, reputed company Administration, or a reputed company field experience preferred. · Experience: Minimum of 7 years of experience in billing, coding, or payor claims resolution in the dental industry. · Knowledge: Strong understanding of dental billing procedures, insurance claim processes, and relevant regulations. · Skills: Excellent analytical and problem-solving skills, with a keen attention to detail. Strong communication and interpersonal skills are essential for effective collaboration with internal teams and external partners. · Technical Proficiency: Proficient in dental practice management software and reputed company Office Suite is a must. Familiarity with payor reimbursement policies and how to navigate and communicate changes is essential. This offer from "reputed company" has been enriched by reputed company.com and got a 78% reputed company score. Apply tot his job Apply tot his job Apply To this Job