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Dental Claims Specialist

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Florida (FL), Miami
Job Reference # or Name 2018-5406
DR Job Category Other
DR Job Type Finance
DR Job Title Other
Job Title Dental Claims Specialist
Availability Full Time
State Florida (FL)
City Miami
Address Log In or Register Here

We have an immediate opening for a Dental Claims Specialist to work at our Kendall corporate office located in Miami, FL. The Claims Specialist is responsible for managing insurance collections for multiple dental office locations and helping to create efficiencies in a high-volume environment. This individual must have experience working in a dental office with excellent customer service skills. We are looking for candidates that have experience with verifying different types of dental insurance plans (HMO's/PPO's) and has proven experience working on a high volume of insurance receivables. Understanding of dental terminology is a must. We prefer a candidate that is a team player and has a positive attitude with exceptional multi-tasking abilities to join our amazing team.

Dental Care Alliance, one of the Top 50 growth companies on Florida's Gulf Coast, continues to add to its Finance Department at its Miami, Florida location. DCA now operates 280 dental offices across 13 states from its corporate headquarters.

The Dental Claims Specialist is a support staff member for the dental practice staff. They will review patient insurance and claims information for accuracy, submit claims on a timely basis and with all necessary documentation to ensure prompt payment, and follow-up on open claims that require additional workup. They will provide support and guidance to their offices in accordance with the training they have received ensuring patients receive the best possible service.
  • Batch and submit claims on a daily basis
  • Pull x-rays, charting, narratives, and any other supporting documentation for NEA submission
  • Review insurance records on patient accounts for accuracy
  • Call on open claims at 30+ days
  • Adjust patient ledgers as necessary in accordance with insurance and company policies
  • Work with dental practices to make sure insurance verification protocols are being followed
  • Report findings and provide updates on work to management and operations


  • 1+ years' experience working in a dental office is a must
  • Working knowledge of dental insurance plans (HMO/PPO) and previous claims experience
  • Strong computer and business solution software skills
  • Good communication skills for communicating with support personnel and management
  • Strong analytical skills for researching and identifying discrepancies
  • Ability to meet deadlines in a fast paced environment
  • Customer service skills

Additional benefits for full-time employees:

  • Medical
  • Dental services
  • Life insurance
  • Vision
  • Paid time off
  • 6 paid holidays off
  • 401k to name a few

DCA Mission
We improve the practice of dentistry by partnering and supporting our dental professionals, so they can create a lifetime of healthy smiles for their patients.

DCA Vision
To be the trusted partner of choice for the industry's best dental professionals.

U nleash Career Potential—of our employees and partners
S ervice Excellence—to our professionals, patients and families
M eaningful Contribution—all can make a difference
I ntegrity First—in all we do
L eadership—in our field and we assume accountability
E xcellence in Action—we are committed to get the job done

Our mission, vision and values are a vital part of our everyday interactions with all employees, and most importantly, with patients and families.

You will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, protected veteran or disabled status, or genetic information.

Dental Care Alliance. Stronger Together.

06/20/2018 10:01
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ref: (2018-5406)
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