Dental Claims Resolution Specialist 1 - Powder Springs, Georgia, United States
4 days ago
Job description
Locations: Must reside in Texas, Georgia, Alabama, Florida, North Carolina, Washington State, Illinois or Virginia
Pay: Hourly pay with base rate of $17.75 per hour and a health and welfare benefit paid per hour of an additional $5.36. If health benefits are not needed (e.g., candidate has TRICARE, VA, or spousal health coverage), the $5.36/hour is contributed to a 401(a) tax-deferred account, with a 3% company match. If health benefits are needed, the $5.36/hour is used to cover benefit selections.
Training: One week of mandatory paid training will be provided remotely. Training is conducted live via Microsoft Teams and requires full video participation for the duration. Successful completion of this training is required to graduate and transition into production work.
Attendance: Candidates must not have any planned absences during the training week. Unplanned time off is only acceptable in cases of emergency.
Time Off and SCA Benefits:
This role is covered under the Service Contract Act (SCA). In accordance with SCA guidelines, employees are eligible for: - 11 paid federal holidays per year (88 hours annually) - Paid vacation: 2 weeks (80 hours) of paid vacation annually after one year of service - Paid sick leave in compliance with state and local laws - Health and welfare fringe benefit of $5.36/hour to be used toward health coverage or contributed to a retirement account if coverage is waived
Position Metrics: This role focuses on accuracy and detail rather than call volume. Metrics include time logged into systems, appropriate use of break/lunch periods, quality of claim processing, and compliance with training standards. Prior experience with dental claims, billing, or healthcare administrative support is highly valued.
Equipment: Widescope provides all necessary computer equipment, including PC, monitors, and cables. Employees must provide reliable high-speed internet with the ability to connect via LAN for optimal performance.
Position Overview:
The Dental Claims Resolution Specialist I supports accurate and timely data entry for dental claims under the Veterans Affairs Community Care Network (VACCN). The specialist will review incoming claims via fax, portal, or paper, ensuring claims are processed with precision and compliance.
Key Responsibilities: - Enter dental claims data into internal systems with accuracy - Correct OCR (optical character recognition) claim issues - Respond to claim-related emails in the VACCN queue - Assist with failed EDI claim resolution - Maintain and update claim tracking spreadsheets to prevent aging backlogs - Collaborate with team leads on complex claims - Apply independent judgment and problem-solving skills
Similar jobs
Aon busca un Analista de Resolución quien maneje beneficios y escalaciones relacionadas con llamadas recibidas desde nuestros centros de atención al cliente. · ...
4 days ago
Aon is seeking a Resolution Analyst to handle benefit and enrollment related escalations received from call centers. · Answer incoming calls and make outbound customer service calls. · Process escalated related transactions in a timely and accurate manner. · ...
5 days ago
+This position will be responsible for order processing, pricing requests, general account management and client interface to include – follow up and escalation of issues. · ...
1 month ago
Aon is looking for a Resolution Analyst to handle benefit and enrollment related escalations. The analyst will assist clients' customers with issues and work in a Hybrid schedule at the Alpharetta, GA office. · ...
4 days ago
The Billing Resolution Specialist is responsible for working directly with customers, internal employees, and our carrier partners to answer questions and resolve issues. · Facilitate freight reconsignments by working with the client and carriers providing accurate pricing. · Res ...
1 month ago
The Billing Resolution Specialist works directly with customers, internal teams, and carrier partners to research, investigate, and resolve freight billing discrepancies. · Associate or Bachelor's degree in Accounting, Finance, Business, or Supply Chain preferred; equivalent work ...
1 month ago
The Billing Resolution Specialist is responsible for working directly with customers, internal employees, and our carrier partners to answer questions and resolve issues. · ...
2 weeks ago
The Claims Resolution Specialist plays a key role in resolving open receivables for our clients. · You will process medical (physician and hospital) bills that involve motor vehicle accidents, workers' comp, and third-party claims. · ...
1 month ago
The Claims Resolution Specialist plays a key role in resolving open receivables for our clients. · Works independently to identify issues with claim submissions; identifies corrective steps; follows issue through to resolution. · Provide exceptional customer service for inbound c ...
1 week ago
The Account Resolution Specialist assumes responsibility for overseeing the daily operations and goals associated with eBilling and Collection processes within the Firm. · ...
1 month ago
Job summary · The Billing Resolution Specialist works directly with customers, internal teams, and carrier partners to research, investigate and resolve freight billing discrepancies. · ResponsibilitiesAct as a liaison between logistics customers... · ...
1 month ago
The Claims Resolution Specialist plays a key role in resolving open receivables for our clients. You will process medical bills that involve motor vehicle accidents, workers' comp, and third-party claims. · Works independently to identify issues with claim submissions; identifies ...
1 month ago
Satair is looking for a Customer Resolution Specialist to join our team based in Peachtree City, GA. · You will be responsible for responding to customer inquiries and processing orders for spare parts for Airbus aircraft, as well as parts for competitor aircraft, for customers i ...
2 weeks ago
Airbus is committed to providing reasonable accommodations as an Equal Opportunity Employer to applicants with disabilities. · ...
1 month ago
Job Summary: · Evaluates and resolves seller disputes, · prioritizing solutions that support seller success · while maintaining compliance with company policies.Evaluates dispute outcomes with fact-based written reports. · Maintains objectivity while showing empathy towards selle ...
2 weeks ago
We are seeking highly organized and customer-focused Transportation Claims Adjusters to join our team. We have ambitious goals and need adjusters who can work in an evolving environment. · Generous health-insurance package with nationwide coverage, vision, & dental · 401(k) retir ...
1 month ago
Evaluates and resolves seller disputes with a focus on accuracy and fairness. · Prioritizes solutions that support seller success while maintaining compliance with company policies. · ...
2 weeks ago
+This is an onsite role at ATL evaluating and resolving seller disputes with focus on accuracy and fairness prioritizing solutions that support seller success while maintaining compliance with company policies. · Evaluates and resolves seller disputes. · ...
2 weeks ago
Interstate Tractor Trailer Transportation Claims Resolution Specialist: Auto Physical and Property Damage
Only for registered members
We are seeking highly organized and customer-focused Transportation Physical Damage Claims Adjusters to join our team. · Provide prompt, courteous and high-quality customer service to all policyholders and claimants by responding to customer inquiries, initiating investigations a ...
1 month ago
A Patient Access Services Supervisor position at Wellstar Health System in Austell GA seeks an experienced leader to oversee daily operations patient access services supervise staff ensure policies procedures followed assist PAS Manager Director other duties required maintain eff ...
1 month ago