Dental Claims Adjustment Clerk - WFH (Remote) Must sit in Missouri

Shift: 8:00am - 4:30pm M-F

Duration: 6 Contract (Potentially contract to hire) until June

Why did these roles open up?

Previously this client has implemented a good amount of new technology they have been using to process claims. This new technology has caused about 30,000 dental claims to be back logged in addition to new calls coming in daily. This client is looking for help for about 6 months, potentially more, to assist with the mediation of these claims and future claim.

• Call Volume - 70 - 80 calls per day

What experience qualifies you? (1 year+)

Dental Terminology

Dental Claims

Dental Insurance

Dental Reception

Dental Customer Service

Dental Administration

Work From Home Experience

Internet speed - 25Mbs Download Speed && 10Mbs Upload

• Comfortability driving into the office 1-2 times a month

Would you like to work in office?

Can go in the office if you would like Tuesdays and Thursdays

Job Description:

CLAIMS

Delta Dental is upgrading their claims software. They need to hire Dental Claims Processors to come in and keep up with production, while a portion of the current staff train on the new software.

Summary: Process dental claims

Responsibilities

• Process claims submitted for payment
• Process claims submitted for predetermination
• Review x-rays and make benefit determination or refer claim to consultant for decision
• Prepare information request letters and/or contact dental offices for info needed

CUSTOMER SERVICE

• Provide assistance to dental offices, subscribers and group contacts via written and verbal communication. Investigates and resolves

problems and communicates benefit information as requested—taking whatever steps necessary to resolve inquiry.

• Daily call average is between 65-80 calls
• Responds to customer inquiries (written, verbal and electronic) regarding benefits, participating doctors and eligibility.
• Analyze claim problems and take appropriate action to ensure that the proper claim payment is made. Provide necessary

follow-up and initiate correspondence.

• Keep informed of benefit changes, new group enrollment and group terminations.
• Actively seek refunds (collection) when necessary.

About Aston Carter:

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At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.

Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients’ capabilities by seeking solvers and delivering solutions to address today’s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email astoncarteraccommodation@astoncarter.com for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.