Specialist, Insurance Collections - PDS Health

Now is the time to join PDS Health. You will have opportunities to learn new skills from our team of experienced professionals. If you're ready to take your career to the next level and gain valuable experience, apply today!

The primary purpose and function the Specialist, Insurance Collections is to coordinate with insurance carriers to ensure the receipt of outstanding insurance claim payments. Follow-up on claims payment status averaging around 25-35 accounts per day.

Responsibilities

• Maintain individual office Insurance Accounts Receivable at an acceptable level as outlined by PDS
• Review patients’ accounts to ensure accuracy on insurance billing and procedures performed
• Read and analyze various internal reports that contain claims and insurance information
• Provide auditors, billers, posters, and other insurance collections specialists with assistance in the follow-up of outstanding claims payment
• Process attachments through National Electronic Attachments (NEA)
• Use various on and offline methods to trace outstanding claims payments
• Use interpersonal and communications skills to obtain claims approval and payment information from various carriers
• Maintain an appropriate professional appearance and demeanor in accordance with Company policy
• Other duties as assigned by management 

Qualifications

• Equivalent to high school diploma or general education degree (GED)

Preferred

• EPIC knowledge
• Associate’s or Bachelor’s Degree or a one-year certificate from an accredited college or technical school; or equivalent combination of education and experience
• Experience in medical or dental setting
• Ability to interpret Explanation of Benefits

Knowledge/Skills/Abilities

• Ability to multi-task effectively without compromising the quality of the work
• Excellent interpersonal, oral and written communication skills
• Detail oriented, organized, process focused, problem solver, proactive, ambitious, customer service focused
• Ability to draw conclusions and make independent decisions with limited information
• Ability to respond to common inquiries from team members, dental offices and other members of the business community
• Self-motivated, reliable individual capable of working independently as well as part of a team

Benefits

• Medical, dental, and vision insurance
• Paid time off
• Tuition Reimbursement
• 401K
• Paid time to volunteer in your local community

Pacific Dental Services is an Equal Opportunity Employer. We celebrate diversity and are united in our mission to create healthier and happier team members.