Insurance Specialist at Eclaro
Chapel Hill, NC
About the Job
Insurance Specialist
Job Number: 24-00419
Job Number: 24-00419
Be at the forefront of innovation. Eclaro is looking for an Insurance Specialist for our client in Chapel Hill, NC.
Eclaro’s client is notable public research university. If you’re up to the challenge, then take a chance at this rewarding opportunity!
Position Overview:
- This Insurance Specialist position performs both dental and medical insurance services for the Client.
- The Insurance Specialist position works in all areas of billing and reimbursement from private dental insurance companies as well as Managed Care companies.
- This position requires specialized knowledge of the insurance industry standards relating to billing and reimbursement in order to perform position duties and a strong understanding of accounts receivable.
- Works closely with private insurance carriers, particularly those contracting with the clinics.
- Also requires an extensive and detailed understanding of dental and medical terminology, dental procedural and diagnostic coding, medical-dental cross-coding, electronic claims processing and of insurance policies and contracts for multiple insurance vendors.
- The duties of this position include filing dental insurance claims and pre-treatment estimates for privately insured patients; obtaining and providing the clinical documentation necessary for claims processing, i.e. x-rays, chart notes and letters of necessity; investigating certain denied claims, following-up on those investigations and submitting claims appeals for those denied claims; scanning of such documentation in the electronic patient record as insurance cards, insurance explanation of payment, provider narratives and insurance consent and regularly auditing patient records for accuracy and completion of billing, coding, and clinical documentation.
- Answers questions from patients and providers regarding dental insurance benefits, claim status and account summary, as well as assisting patients with in-house payment arrangements under the policies of the client advising patient of their options.
- Requires HIPAA Compliance.
If hired, you will enjoy the following Eclaro Benefits:
- 401k Retirement Savings Plan administered by Merrill Lynch
- Commuter Check Pretax Commuter Benefits
- Eligibility to purchase Medical, Dental & Vision Insurance through Eclaro
If interested, you may contact:
Rachelle Daylo
Rachelle.Daylo@eclaro.com
6468495173
Rachelle Daylo | LinkedIn
Equal Opportunity Employer: Eclaro values diversity and does not discriminate based on Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.