Insurance Billing Support at DCS (Dental Claim Support)

DCS (Dental Claim Support) is a dental revenue cycle management company that works with dentists, dental offices, and DSOs in the United States. DCS empowers dental teams by integrating highly trained RCM experts and a unique technology framework to maximize profitability and catalyze growth. Our dental billing systems and processes allow our employees to work all aspects of the full revenue cycle system efficiently, to increase profits for dental practices and groups.

Who Are We Looking For?

Dental Claim Support is seeking a detail-oriented and organized Insurance Billing Assistant to join our team. Reporting to the Team Lead, the successful candidate will focus on managing and resolving outstanding claims on insurance aging reports and submitting daily claims, including appeals and reconsiderations. This role requires a strong understanding of dental insurance claims processes, attention to detail, and the ability to work independently to ensure claims are processed efficiently, accurately, and with all necessary supporting documentation.

Tasks & Obligations

Review and work through insurance aging reports to identify and resolve outstanding claims.
Follow up on pending claims with insurance carriers to ensure timely reimbursement and reduce aging accounts.
Prepare and submit daily claims for dental services, ensuring accuracy, compliance with payer requirements, and inclusion of all necessary supporting documentation.
Handle the submission of appeals and reconsiderations for denied or underpaid claims, providing the required documentation and follow-up.
Maintain accurate and up-to-date records of claims, appeals, and reconsiderations in our database.
Ensure all claims documentation, including supporting documents, appeals, and reconsiderations, is correctly filed and accessible for audits or client inquiries.
Demonstrate familiarity with dental insurance claim forms, coding, and payer requirements.
Utilize claims management software and databases to track the progress of claims and manage outstanding accounts.
Submit accurate and complete claims, appeals, and reconsiderations, adhering to deadlines and ensuring timely task completion.
Work independently to manage multiple tasks, focusing on reducing the insurance aging report and ensuring daily claims are processed with all necessary documentation.
Communicate with insurance payers, providers, and internal teams as needed, representing DCS professionally.
Assist in maintaining positive relationships with external partners to support the claims process.
Manage your workload effectively, demonstrating the ability to work independently while meeting expectations.
Seek opportunities to learn and grow in the field of dental insurance claims, particularly in claims resolution, appeals, and reconsiderations.
Identify and resolve issues related to outstanding claims, appeals, and reconsiderations, working efficiently to minimize disruptions to client services.
Implement process improvements to enhance the accuracy and efficiency of claims processing tasks.
Provide exceptional service to clients, ensuring that inquiries about outstanding claims, appeals, and reconsiderations are addressed promptly and accurately.
Take responsibility for the accuracy and completeness of claims, appeals, reconsiderations, and supporting documentation.

Qualification

1+ year of experience in an administrative support role, preferably within a healthcare or dental setting.
Experience working as an independent contractor is preferred.
Familiarity with working with independent contractors on a global scale.
High School diploma or GED; some college coursework is a plus.
Proficiency in Microsoft Office (Excel, Word, Outlook, etc.); experience with credentialing software is advantageous.
Strong organizational skills, attention to detail, and the ability to manage multiple tasks independently.
Excellent communication skills, both written and verbal.
Ability to work independently and manage your own workload effectively.

Success Criteria

Maintain a Client Retention Rate of 90% or higher.
Maintain a Net Promoter Score (NPS) of 8 or above for accounts assigned to the Insurance Billing Assistant’s specific book of business.
Insurance Billing Assistants are expected to contribute to the individual book of business minimum equivalent to $100,000 insurance collections per month.
Resolve a minimum of 40 claims per day when working on outstanding claims.
Maintain an insurance claims submission accuracy rate of 98%.
Maintain an overall audit score of 90% or higher.

Bonus information

The Insurance Billing Assistant is critical to ensuring that outstanding claims are resolved and daily claims are submitted without delay. By diligently working through insurance aging reports and managing the submission of claims, appeals, and reconsiderations, including all necessary documentation, you will directly contribute to the financial health and operational success of our clients.

Method of Application

Prospective and qualified applicants should endeavor to click on APPLY to complete the required application form.