DentaQuest

Claims Processor

DentaQuest

United States – Work from Home

March 22, 2022

JOB SUMMARY:

The Claims Processor processes entry level and intermediate claims with a 99% or greater accuracy rate using DentaQuest’s proprietary claim processing software.


PRIMARY JOB RESPONSIBILITIES:

- Consistently process entry level and intermediate claim queues with a 99% or greater accuracy rate.

- Adhere to approved claim work flow requirements to maximize efficiency.

- Serve as back up to Claim Administration team for entry level adjustments to claims as necessary to meet corporate goals.

- Serve as back up to call center during peak periods by taking provider and member calls to ensure corporate-wide service levels are consistently achieved.

- Successfully complete basic claim related projects, as assigned.

- Other duties as needed or required.

About Us



  • Health care continues to evolve and transform at a rapid pace, yet too many people still don’t get the care they need.

  • Simply put, the overall health care system fails to meet the basic needs of millions.

  • That is why DentaQuest is relentlessly focused on our mission to improve the oral health of all.

  • As an oral health champion, we are making transformative change with a focus on improving access, prevention, value-based care and measurable outcomes.

  • We leverage our broad knowledge and deep insights from years of experience to innovate with purpose to find the best ways to get people the oral health care they need.

  • We understand that together is the only way forward.

  • The people of DentaQuest have a common purpose, and we work together with passion, perseverance and focus to achieve a nation where no child suffers from the pain of tooth decay.

  • Where adults keep all their teeth for their entire lives. Where every person has access to quality dental care.

Required:



  • Associates degree

  • Two years of experience in a business environment.

  • Strong math competency.

  • Ability to efficiently operate computer.

  • Strong interpersonal, written and verbal communication skills.

  • Attention to detail, accuracy and organization skills are essential.

  • Self-motivation demonstrated by readiness to learn more and assume new challenges.

  • Cooperative, professional and effective interaction skills with co-workers, business partners and

  • visitors.

  • Ability to work in excess of 40 hours in one week.

  • Ability to use Microsoft Office. (Word, Excel and Outlook)

  • Understanding of general insurance principles.

  • Able to follow verbal and written instructions.

  • Ability to read and comprehend at a high school level.

  • Required to attend additional training as requested/deemed necessary.

Preferred:
Previous claim processing experience a plus