Claims Resolution Representative

Great Expressions Dental Centers • Southfield, MI

7d • Hybrid

About The Position

The Claims Resolution Representative resolves high volumes of aging insurance claims by contacting insurance companies and providers by phone or using payer websites when available. The role requires attention to detail, effective communication, teamwork, and self-motivation. The position is based at the corporate office in Southfield, Michigan, with a hybrid schedule: in the office Monday, Tuesday, and Thursday, and remote Wednesday and Friday.

Requirements

• High school diploma or GED.
• At least 3 years of dental front desk, medical claims processing, or dental claims processing experience.
• Prior experience with insurance or accounts receivable involving denied claims.
• Analytical and problem-solving skills, with attention to detail and accuracy.
• Reliability and flexibility with time committed to the position.
• Strong organizational and time-management skills.
• Proficiency in Microsoft Outlook and Excel.
• Ability to communicate effectively and tactfully with insurance company representatives and individual clients.

Nice To Haves

• Bachelor’s degree preferred.
• Experience in dental insurance claims is a plus.
• Experience in a high-volume, fast-paced office is a plus.

Responsibilities

• Resolve high volumes of aging insurance claims with payers and providers by phone or through available insurance websites.
• Communicate effectively and tactfully with insurance company representatives and individual clients.
• Perform other tasks as requested by the direct manager.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED