We are redirecting you to the source. If you are not redirected in 3 seconds, please click here.

Medical Billing Claim Specialist at SuperStaff. We are seeking a focused and experienced Preauthorization and Claim Follow-Up Specialist to join our medical billing team for dentistry. This role supports the successful integration of dental procedures into medical billing by managing pre-authorizations and monitoring claim progress. The ideal candidate has a solid understanding of how to get medical claims paid and pre-authorizations approved. . Key Responsibilities: . • Pre-authorization: . o Track preauthorization statuses and update internal systems to reflect approval timelines and limitations. . o Communicate preauthorization outcomes and requirements to the PPO Profits medical billing leads. . • Claim Follow-Up: . o Initiate timely follow-up with insurance carriers to confirm claim processing, payment, or the need for additional documentation. . o Identify common claim delays and collaborate with internal teams to correct and prevent future issues. . o Document all correspondence and status updates clearly and accurately in the billing system.. Qualifications: . • Required: . o 2+ years of experience in medical billing, preferably with dental-medical. . o Working knowledge of dentistry . o Familiarity with pre-authorization requirements across commercial and government payers. . o Experience using medical billing software and payer portals. . • Preferred: . o Certification in billing/coding. . o Experience with conversing with insurance companies for details. . o Prior dental office or dental billing service experience. . Skills: . • Excellent communication and follow-up skills. . • Strong attention to detail and accuracy. . • Ability to prioritize multiple tasks in a fast-paced setting. . • Self-motivated with strong organizational skills.. Company Location: Philippines.