Insurance Exceptions Processor

Insurance Exceptions Processor

Job ID: 487

Location: 10300 Linn Station Rd. Louisville, KY 40223

Job Type: Full-time

Weekly hours: 40

What You'll Love About Us:

• A Positive, Team-Oriented Culture: We believe in supporting one another and celebrating successes, big or small.


• Opportunities for Growth: We're committed to helping you advance your skills and reach your career goals.


• Work-Life Balance: Flexible scheduling and an environment that respects your personal time.


• Your voice matters: We encourage feedback and innovation at every level.

Benefits of being part of the Mortenson Dental Partners Team

• Benefits are available after 60 days of employment


• Medical, dental, and vision insurance with company contribution


• Life Insurance


• Flexible spending (health and dependent care) account


• Paid Time Off & 6 paid holidays off


• Employee Stock Ownership Plan


• 401K


• Daily Pay


• Professional development assistance


• FREE continuing education opportunities


• Employee assistance program

Responsibilities

• Analyzes ERA for claims that did not auto-post for cause. Post insurance payments for claims with exceptions and accurate contract obligations to specific procedure 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, or calling to determine specific denial reasons. Retrieves EOBs from carrier websites when the ERA is not sufficient to post accurately.


• Direct the practice on actions that should be taken to reprocess the claim to result in payment. Update SARA with all pertinent information, including denial reasons.


• Audits the SARA report to ensure all payments are applied before the month-end process is complete.


• Supports other insurance specialists, supervisors, and managers in times of heavy claim influx.

Required

• High school diploma or equivalent


• Customer service


• Computer, Google suite, copier, fax, telephone

Preferred

• One year dental insurance experience


• Dental practice management software

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.