Dental Claims Specialist - Hybrid, Denials & Appeals

Wells Family Dental Group; Raleigh (NC); Hybrid; USD 25,000 - 29,000; Full time

Benefits offered by this job

401(k)

Disability insurance

Health insurance

Life insurance

Paid time off

Vision insurance

Job summary

Wells Family Dental Group in Raleigh areas seeks an experienced Dental Claims Specialist to support our 9 locations around Raleigh. The ideal candidate has at least 1 year of experience with dental codes and terminology, inputting payments (checks, EFTs, and virtual cards), and knowledge of insurance EOBs.

You will research denials, communicate with insurers both verbally and in writing, write appeal letters, and follow up on old claims.

Qualifications

• At least 1 year experience with dental codes and terminology.
• Experience inputting payments via checks, EFTs, and virtual cards.
• Knowledge of insurance EOBs: payments, network write-offs, patient portions.
• Experience appealing denials through written appeals and follow-up on old claims.

Responsibilities

• Research why claim denials occur and contact insurers.
• Write and submit appeal letters to obtain payment.
• Follow up on outstanding claims across multiple locations.
• Maintain accuracy and efficiency in processing claims.

Skills

Dental codes

EOB knowledge

Payments processing

Appeals writing

Job description

Wells Family Dental Group in Raleigh areas seeks an experienced Dental Claims Specialist to support our 9 locations around Raleigh. The ideal candidate has at least 1 year of experience with dental codes and terminology, inputting payments (checks, EFTs, and virtual cards), and knowledge of insurance EOBs.

You will research denials, communicate with insurers both verbally and in writing, write appeal letters, and follow up on old claims.