Dental Insurance Claims & Reconciliation Specialist

University of the Pacific; Stockton (CA); Sur place; USD 42 000 - 54 000; Plein temps

Résumé du poste

University of the Pacific in Stockton, CA seeks a Clinic Billing Specialist to process insurance claims, post payments, audit patient charts, and manage collections referrals. This role supports faculty, residents, and staff in ensuring accurate financial activity and timely reimbursements.

Must have a high school diploma and at least three years of high-volume dental billing and customer service experience.

Qualifications

• High school diploma or equivalent.
• Three consecutive years insurance billing and payment allocation in a high-volume dental setting.
• Three years customer service and/or patient relations.

Responsabilités

• Perform daily audit of patient health records for financial accuracy and complete treatment documentation.
• Prepare and generate insurance claims for submission (hard copy or electronic).
• Respond to insurer requests for information and facilitate resolution.
• Post and allocate insurance payments timely and accurately.
• Initiate refund requests to insurers for incorrect processing.
• Generate and review accounts receivable reports and identify write-offs or denials.
• Review claims for accuracy to ensure timely reimbursement across programs.
• Communicate insurance requirements and CDT updates to staff; collaborate with clinics.

Connaissances

Insurance billing

Accounts receivable

Customer service

CDT coding guidance

Confidentiality

Formation

High school diploma or equivalent

Outils

Electronic health records software

Microsoft Word

Microsoft Excel

Microsoft Outlook

Description du poste

University of the Pacific in Stockton, CA seeks a Clinic Billing Specialist to process insurance claims, post payments, audit patient charts, and manage collections referrals. This role supports faculty, residents, and staff in ensuring accurate financial activity and timely reimbursements.

Must have a high school diploma and at least three years of high-volume dental billing and customer service experience.