Job description

Fidelio is a well-established Dental Insurance Company headquartered in the Greater Philadelphia Area and has been in business for over 35 years. Fidelio maintains one of the largest regional panels of participating providers in the area and has provided benefits for 100's of thousands of lives.

Fidelio is positioned for growth and has an immediate opening for a highly skilled Dental Insurance Claims Processer! You will be responsible for reviewing and processing claims and conducting research when necessary.

ESSENTIAL RESPONSIBILITIES

• Review and evaluate dental insurance claims for accuracy, completeness, and adherence to policy guidelines and industry regulations.
• Verify patient eligibility and coverage benefits based on the terms of the dental insurance plan.
• Accurately enter and update claim information into the claims processing system or software.
• Communicate with dental providers, and policyholders to gather additional information or clarify claim details, as needed.
• Process claims within designated timelines, ensuring prompt and accurate payment or denial of claims.
• Provide exceptional customer service by responding to inquiries and resolving issues related to dental claims.
• Elevates issues to next level of supervision, as appropriate.

OTHER DUTIES AS ASSIGNED OR REQUESTED

• Proficient in resolving complex issues using available documents/job aids with minimum direction.
• Willingness to take on special processing assignments; coordinate with other departments for resolution if needed.
• Understand fundamentals of end-to-end claims processing.
• Identify and report issues in a timely manner.
• Actively participate in team meetings and team activities.
• Required to meet minimum quality expectations.

KNOWLEDGE/SKILLS

• Insurance experience (required).
• Claims processing/data entry (required).
• Microsoft Suite experience and the ability to use word and excel (preferred).
• Ability to multitask.
• Self-starter with the ability to learn new skill and retain information with minimal repetition.

Job Type: Full-time

Pay: $15.00 - $25.00 per hour

Benefits:

• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off

Physical setting:

• Office

Schedule:

• 8 hour shift
• Monday to Friday
• No nights
• No weekends

Supplemental pay types:

• Bonus pay

Ability to commute/relocate:

• Glenside, PA 19038: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Microsoft Office: 2 years (Required)
• Customer service: 3 years (Required)

Work Location: In person

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