Insurance Exception Processor

Description Position at Mortenson Dental Partners Insurance Exception Processor Mortenson Dental Partners Job ID: 10264Job Type: Full Time Location: 10300 Linn Station Rd, Louisville, KY 40223 Insurance Exception Processor is responsible for posting all nonautomated payments to patient ledgers. These are the claim exceptions and include, but not limited to, claims with dual carriers, downgrades, bundles, and denials. Must analyze the ERA(s) to determine the correct contract obligation for each claim. Assists with denial management by determining the cause of the denial and communicating that information to the practice staff. Ensures the accuracy of all data entry. May assist supervisors in strategic or managerial projects as necessary. Provides efficient, courteous and quality customer service to both internal and external customers. Other responsibilities as required. Benefits of being part of the Mortenson Team Benefits available after 60 days of employmentMedical, dental, and vision insurance with company contributionLife InsuranceFlexible spending (health and dependent care) accountPaid Time Off & 6 paid holidays offEmployee Stock Ownership Plan401KDaily PayProfessional development assistance FREE continuing education opportunities Employee assistance programResponsibilities: Analyzes ERA for claims that did not auto post for cause. Posts insurancepayments for claims with exceptions and accurate contract obligations to specificprocedure codes on the patient ledgers. Meets daily quality and timing standards.Contact insurance carriers when necessary to assist with claim payment. This may include, but not limited to, calling with seat dates, calling with COB information, orcalling to determine specific denial reasons. Retrieves EOBs from carrier websiteswhen the ERA is not sufficient to post the practice on actions that should be taken to reprocess the claim toresult in payment. Update SARA with all pertinent information including denialreasons.Audits the SARA report to ensure all payments are applied before the month endprocess is complete.Supports other insurance specialists, supervisors and managers in times ofheavy claim influx.Requirements: High School Diploma or equivalentCustomer ServiceComputer, copier, fax, telephoneDental practice management software (Preferred) Any offer of employment is contingent upon the Company's determination that the candidate has successfully passed a background check, including a drug screen. We are an equal-opportunity employer and consider all qualified candidates equally. Mortenson Dental Partners is recommended 9 out of 10 on Glassdoor!

Created: 2024-11-02