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This position focuses on medical insurance verification of benefits, preauthorizations, and medical claim follow-up for oral surgery, implants, sleep dentistry, bone grafting, and medically necessary dental procedures.
Responsibilities:
• Complete detailed medical insurance verifications of benefits (VOBs)
• Submit and follow up on medical preauthorization
• Track and follow up on outstanding medical claims
• Communicate with insurance companies regarding claim status and documentation requirements
• Review insurance policies and benefit limitations
• Maintain accurate documentation and spreadsheets
• Work closely with dental offices and billing specialists
• Assist with appeals and requests for additional documentation
• Experience with dental or medical insurance billing preferred
• Knowledge of CPT, ICD-10, and medical terminology is a plus
• Strong phone and communication skills
• Highly organized with attention to detail
• Ability to multitask in a fast-paced environment
• Experience with insurance portals such as Availity, UHC, Aetna, BCBS, Cigna, and Humana preferred
• Positive attitude and willingness to learn
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