Claims Resolution Representative

Great Expressions Dental Centers; Southfield (MI); Hybrid; USD 28,000 - 36,000; Full time

Job summary

Great Expressions Dental Centers in Southfield, MI is seeking a Claims Resolution Representative to manage aging dental insurance claims by contacting payers and using provider portals. This role requires clear communication with insurance companies and a self-motivated, team-oriented approach.

Ideal candidates have 3+ years in dental front desk or dental/medical claims processing, strong analytical skills, and proficiency with Outlook and Excel. Bachelor’s degree is preferred but not required.

Qualifications

• High school diploma or GED required.
• Bachelor’s degree preferred.
• 3+ years Dental Front Desk or Medical or Dental Claims Processing experience.
• Experience with insurance or accounts receivable (denied claims) a plus.
• Proficiency in Microsoft Outlook and Excel.

Responsibilities

• Resolve high volumes of aging dental insurance claims with payers and providers.
• Communicate effectively with insurance companies.
• Work well with team while remaining self-motivated.
• Other tasks as requested by direct Manager.

Skills

Communication skills

Dental insurance claims experience

Analytical and problem solving

Time management

Outlook & Excel proficiency

Education

High school diploma or GED

Bachelor’s degree preferred

Tools

Microsoft Outlook

Excel

Job description

What You’ll Do…

The Claims Resolution Representatives primary role is to resolve high volumes of aging insurance claims with payers and providers by calling insurance companies or by utilizing their websites when available. This person should be detail oriented and can communicate effectively with insurance companies. While it is important to work well with their team it is equally important that they are self-motivated.

What You’ll Do…

The Claims Resolution Representatives primary role is to resolve high volumes of aging insurance claims with payers and providers by calling insurance companies or by utilizing their websites when available. This person should be detail oriented and can communicate effectively with insurance companies. While it is important to work well with their team it is equally important that they are self-motivated.

This position is located at our corporate office in Southfield, MI and has a hybrid schedule of Monday, Tuesday, Thursday in office and Wednesday/Friday remote.

What You’ll Bring To The Team…

• Ability and self-confidence to communicate effectively, and tactfully, to both large insurance company representatives and individual clients
• Resolving high volumes of aging insurance claims
• Other tasks as requested by direct Manager

What We Require You Have…

• High school diploma or GED
• Bachelor’s degree preferred
• Experience in dental insurance claims is a plus
• Analytical and problem solving skills with a passion for detail & accuracy
• Reliability and flexibility with time committed to the position
• Excellent organizational and time management skills
• 3+ years Dental Front Desk or Medical or Dental Claims Processing experience
• Prior experience with insurance or accounts receivable (denied claims)
• High volume, fast-paced office experience a plus
• Proficiency in Microsoft Outlook and Excel

About GEDC…

Since 1982, Great Expressions has been at the forefront of dental innovation, setting the standard for exceptional care and unforgettable patient experiences. Now, we’re entering a new era of transformation, and we want you to be a part of it. Our recently appointed leadership team brings over a century of collective dental expertise and is backed by dynamic investment support to pave the way for groundbreaking changes. We’re channeling our resources and energy into revolutionizing our technology platform, expanding service offerings, and creating a personalized patient experience that goes beyond the expected. At Great Expressions, we’re not just transforming dentistry; we’re investing in the growth and development of our team. Join us and be a part of a career that blends innovation and professionalism, where your contribution shapes the future of dental excellence.

#IND7

GEDC is committed to diversity and inclusion and is proud to be an equal opportunity employer. All qualified applicants are welcomed and encouraged to apply.