Review and work aging and outstanding claim reports with accuracy and efficiency
Verify the status of insurance claims and proactively follow up on discrepancies or delays
Maintain detailed, accurate, and up-to-date documentation within the billing system
Prepare, submit, and manage insurance appeals as needed
Audit patient ledgers to ensure accuracy and identify discrepancies
Initiate and manage insurance recoupments
Submit and process secondary insurance claims
Investigate and resolve claim denials, rejections, underpayments, and overpayments
Submit corrected claims and complete necessary claim adjustments
Analyze denial patterns and report trends to leadership for process improvement
Ensure all claims are thoroughly worked to maximize reimbursement
Coordinate with insurance carriers to resolve complex claim issues
Collaborate with dental staff and cross-functional departments to ensure accurate billing and resolve discrepancies