Dental & Vision Claims & Scheduling Specialist

Access Care Proactive Health; Central Visayas; Sur place; PHP 240 000 - 360 000; Plein temps

Résumé du poste

Access Care Proactive Health seeks a Claims Assistant Specialist to support insurance claims processing, payment reconciliation, patient eligibility verification, and scheduling across dental and vision platforms. This role also coordinates dentist credentialing and maintains provider data for mobile and event clinics.

You will verify coverage, manage Open Dental records, and collaborate with insurance providers and cross-functional teams.

Qualifications

• Bachelor's degree in Commerce or related field.
• 1 year of experience in insurance claims processing and scheduling support.
• Familiarity with dental and vision insurance workflows and portals.

Responsabilités

• Monitor claim payments daily across multiple insurers and track statuses.
• Submit and process vision claims to Spectera with accuracy and compliance.
• Assist with claim submissions for Cigna and MetLife as needed.
• Coordinate dentist credentialing, attestations, and tracking in Airtable.
• Maintain dentist license numbers and NPI data in Open Dental for compliance.

Connaissances

Insurance claims processing

Payment reconciliation

Patient eligibility verification

Scheduling coordination

Provider credentialing support

Open Dental

Airtable

Microsoft Office

Data management

Communication

Formation

Bachelor of Science in Commerce, Major in Business Management

Outils

Open Dental

Airtable

Microsoft Office

Description du poste

Access Care Proactive Health seeks a Claims Assistant Specialist to support insurance claims processing, payment reconciliation, patient eligibility verification, and scheduling across dental and vision platforms. This role also coordinates dentist credentialing and maintains provider data for mobile and event clinics.

You will verify coverage, manage Open Dental records, and collaborate with insurance providers and cross-functional teams.