[Remote] Dental Claims Associate (Retention & Recovery Specialist)
Note: The job is a remote job and is open to candidates in USA. Randstad is seeking detail-oriented Dental Claims Associates to join their Commercial Checks team. The role involves solving complex claim situations to ensure accurate payments for providers and members, while maintaining a high accuracy rate.
Responsibilities
• Research and resolve undeliverable checks, void/reissue requests, and Zelis refunds
• Process advanced claim and check adjustments, ensuring every penny is accounted for within our corporate goals
• Partner with Sales, Finance, and Client Services to resolve outstanding payment and retention issues
• Manage the check status follow-up queue and monitor retention amounts for quarterly reporting
• Document workflows and track outstanding items using Windward and Microsoft Excel to ensure no inquiry falls through the cracks
Skills
• An Associate's degree OR 6+ years of experience in a financial/professional environment
• Ability to quickly learn Windward (Claim Processing) and switch seamlessly between multiple systems and Microsoft Office (Word, Excel, Outlook)
• Strong strategic decision-making skills and the ability to investigate claim trends to proactively solve broader issues
• Professional written and verbal skills for interacting with internal leadership and business partners
• Comfort working in a remote setting with a target start date of ASAP
• Previous experience in claim processing or payment retention
• Prior experience in the dental industry
• Experience with Zelis refunds or APU retention
Benefits
• Computer equipment will be provided.
Company Overview
• Randstad is the world’s largest talent company and a partner of choice to clients. It was founded in 1960, and is headquartered in Diemen, Noord-Holland, NLD, with a workforce of 10001+ employees. Its website is https://www.randstad.nl.
Company H1B Sponsorship
• Randstad has a track record of offering H1B sponsorships, with 754 in 2023, 776 in 2022, 1143 in 2021, 1749 in 2020. Please note that this does not guarantee sponsorship for this specific role.
Apply Now
Apply Now
Responsibilities
• Research and resolve undeliverable checks, void/reissue requests, and Zelis refunds
• Process advanced claim and check adjustments, ensuring every penny is accounted for within our corporate goals
• Partner with Sales, Finance, and Client Services to resolve outstanding payment and retention issues
• Manage the check status follow-up queue and monitor retention amounts for quarterly reporting
• Document workflows and track outstanding items using Windward and Microsoft Excel to ensure no inquiry falls through the cracks
Skills
• An Associate's degree OR 6+ years of experience in a financial/professional environment
• Ability to quickly learn Windward (Claim Processing) and switch seamlessly between multiple systems and Microsoft Office (Word, Excel, Outlook)
• Strong strategic decision-making skills and the ability to investigate claim trends to proactively solve broader issues
• Professional written and verbal skills for interacting with internal leadership and business partners
• Comfort working in a remote setting with a target start date of ASAP
• Previous experience in claim processing or payment retention
• Prior experience in the dental industry
• Experience with Zelis refunds or APU retention
Benefits
• Computer equipment will be provided.
Company Overview
• Randstad is the world’s largest talent company and a partner of choice to clients. It was founded in 1960, and is headquartered in Diemen, Noord-Holland, NLD, with a workforce of 10001+ employees. Its website is https://www.randstad.nl.
Company H1B Sponsorship
• Randstad has a track record of offering H1B sponsorships, with 754 in 2023, 776 in 2022, 1143 in 2021, 1749 in 2020. Please note that this does not guarantee sponsorship for this specific role.
Apply Now
Apply Now