Dental Insurance Claims Processor Job at Imperial Health Plan of California, Inc., Pasadena, CA

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  • Imperial Health Plan of California, Inc.
  • Pasadena, CA

Job Description

Imperial health is seeking a dental claims processor

On Site In Pasadena

  • Reviewing and validating dental insurance claims for accuracy and completeness
  • Entering claim information into the computer system for processing
  • Checking the eligibility and coverage details of the patient
  • Confirming that the dental procedures performed are covered by the insurance policy
  • Communicating with dental offices to obtain missing information or clarify discrepancies
  • Resolving claim discrepancies and issues in a timely manner
  • Working with the dental insurance company to determine the amount of payment or denial of claim
  • Ensuring compliance with the company’s procedures and regulations as well as federal and state laws relating to insurance claims
  • Maintaining patient confidentiality and adhering to HIPAA regulations
  • Keeping records of all processed claims and preparing reports as neede

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