Job Description
Analyze and adjudicate dental claims with complicated treatment plans to ensure accurate benefits administration. Primary responsibilities include analyzing and processing dental claims, administering claim processing guidelines/standards, investigating difficult provider reconsideration requests, and coordinating with contracted dentists on questionable treatment cases.
You will also pre and post-screen claims, provide dental expertise, organize and perform test cases on claims processing system, analyze data for reports, and adjudicate Third Party Liability claims. Other related duties will be assigned as necessary. #LI-Remote
About Delta Dental
Delta Dental of Michigan, Ohio, and Indiana has been a dental benefits leader for more than 60 years, and one of the largest dental plan administrators.