Review and resolve facility bill holds, coding edits and denials/claims rejections to ensure timely and accurate claim submissions. Provide coding/billing support acting as a resource of knowledge and skill, assisting in maintaining up-to-date coding information. Adhere to service excellence guidelines and CMH policies.
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The Dental Insurance Operations Specialist will troubleshoot payment discrepancies arising from incorrect dental billing or inaccuracies in dental insurance carrier payments. Expertise will help streamline billing processes and improve overall revenue cycle management in this remote position.