Claims Resolution Representative

Remote Full-time
About the position The Claims Resolution Specialist’s primary role is to resolve high volumes of aging insurance claims with payers and providers by calling insurance companies or by utilizing their websites when available. This person should be detail oriented and can communicate effectively with insurance companies. While it is important to work well with their team it is equally important that they are self-motivated. This position is located at our corporate office in Southfield, MI and has a hybrid schedule of Monday-Thursday in office and Friday remote. Since 1982, Great Expressions has been at the forefront of dental innovation, setting the standard for exceptional care and unforgettable patient experiences. Now, we're entering a new era of transformation, and we want you to be a part of it. Our recently appointed leadership team brings over a century of collective dental expertise and is backed by dynamic investment support to pave the way for groundbreaking changes. We're channeling our resources and energy into revolutionizing our technology platform, expanding service offerings, and creating a personalized patient experience that goes beyond the expected. At Great Expressions, we're not just transforming dentistry; we're investing in the growth and development of our team. Join us and be a part of a career that blends innovation and professionalism, where your contribution shapes the future of dental excellence. GEDC is committed to diversity and inclusion and is proud to be an equal opportunity employer. All qualified applicants are welcomed and encouraged to apply. Responsibilities • Resolving high volumes of aging insurance claims • Other tasks as requested by direct Manager Requirements • High school diploma or GED • Analytical and problem solving skills with a passion for detail & accuracy • Reliability and flexibility with time committed to the position • Excellent organizational and time management skills • 3+ years Dental Front Desk or Medical or Dental Claims Processing experience • Prior experience with insurance or accounts receivable (denied claims) • Proficiency in Microsoft Outlook and Excel Nice-to-haves • Bachelor’s degree preferred • Experience in insurance claims is a plus • High volume, fast-paced office experience a plus • Ability and self-confidence to communicate effectively, and tactfully, to both large insurance company representatives and individual clients
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