Dental Claims Processor

Uses knowledge of claims processing to key and examine all types of claims and identify key elements and processing requirements based on coding, provider, plan benefits, contracts, and policies and procedures. Efficiently and accurately process all types of claims, utilizing broad based product or system knowledge to ensure accuracy and timely payment. Calculates co-pays and maximums, as well as researches and resolves claims inquiries from internal and external customers as well as resolves pended and rejected claims. Works with other departments to complete claim processing and resolve over and underpayments. Assists customer service reps by providing feedback and resolving issues and answering claims processing questions. Can assist in training programs and provide assistance to less experienced staff.

Requirements:

• High school degree or equivalent
• 3+ years of claims experience
• Extensive knowledge in CPT, HCPC, CDT and ICD ? 9 coding.
• Analytical problem solving skills
• Excellent data entry skills
• Excellent customer service skills for internal / external customers
• Effective keyboard skills and the ability to navigate within a computer/systems is essential

Duties and Responsibilities:

• Ability to maintain production levels and quality goals
• Ability to work independently and possess problem solving skills with focus on detail
• Ability to establish and maintain effective working relationships in a team environment
• Ability to communicate effectively
• Ability to manage personal stress; can remain calm and controlled in stressful situations

About Aerotek:

Aerotek, headquartered in Hanover, Md., is a leading provider of technical, professional and industrial staffing services.  Established in 1983, Aerotek is an operating company of Allegis Group, the largest provider of staffing services in the U.S. Aerotek operates a network of more than 200 non-franchised offices throughout the U.S., Canada and Europe. For more information, visit .