What are the responsibilities and job description for the Dental Claims Specialist position at CodeForce 360?
Career Opportunity:
Job Title: Dental Claims Specialist
About CodeForce 360
Making a career choice is amongst the most critical choices one can make, and it’s important for the choice to be calculated with factors such as a company’s run of success since its inception and more. But, when you come across a company that has reputation proven with nothing but an illustrious run of success since the day it began, you don’t need to think of anything else. That’s precisely what some of our employees and prospective employees think when they came across CodeForce 360.
Position Overview
Dental Claims Specialist
Requirements:
Professional Summary:
- At Client, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable.
- Client empowers you to help clients deliver better health and human services outcomes using innovative technology and solutions, enabling you to design your career for growth, new possibilities, and refinement of your valuable skills.
- This position is responsible for but is not limited to, researching, and analyzing incoming Member Complaints, Member Reimbursement requests, Billing and Enrollment inquiries, miscellaneous member correspondences, etc.
Your role in our mission:
- Research member appeals and grievances and obtain additional information, if needed
- Analyses documents and determine how to proceed to provide a reevaluation.
- Creates documentation supporting the determination and forwards information to consultants as needed.
- Processes claims and TARs based on the final determination from Complaints.
- Regular updating, tracking, and monitoring of extensive caseload in the CRM system.
- Regular communication with both internal and external customers to ensure the appeals and reimbursement claims are concluded successfully and accurately.
What we're looking for:
- Medi-Cal Dental Program experience needed. Claim/TAR processing preferred.
- Knowledge of Medi-Cal Dental policies, TARs/claims, eligibility, etc.
- A minimum of 1-2 years of related work experience.
- Graduation from an accredited dental assistant school or dental office experience preferred.
- Must be able to fluently read dental radiographs.
- Strong organizational, analytical, and critical thinking skills are essential.
How to Apply
Job ID: JPC - 190648
For more information, please contact below:
Pallavi Singh
470-900-1077
pallavis@codeforce.com
Qualified individuals will be contacted for an interview.
Job Type: Contract
Pay: $25.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work setting:
- Remote
Experience:
- Microsoft Office: 1 year (Preferred)
- Customer service: 1 year (Preferred)
Work Location: Remote
Salary : $25
