• Prepare and Submit Claims: Accurately prepare and submit claims to insurance providers, government agencies, or other relevant entities. Ensure all claims meet required guidelines, using proper coding (CPT, ICD-10, HCPCS, etc.) and necessary supporting documentation. Utilize electronic submission tools (such as clearinghouses or proprietary systems) to submit claims.
• Verify Claim Information: Ensure that all information on the claim is accurate, including patient details, policyholder information, dates of service, dental codes, and service descriptions.
  Cross-check with internal systems to confirm the eligibility of claims and validate the accuracy of the data being submitted.
• . Monitor Claim Status: Track and monitor the status of all submitted claims to ensure timely processing.

Follow up on outstanding claims with insurance companies or other relevant parties to resolve issues or delays.

• Resolve Claim Denials and Rejections: Review denied or rejected claims to determine the cause and take necessary actions to resolve discrepancies. Work with internal teams (e.g., billing, coding, customer service) and external parties (e.g., insurance providers) to correct errors and resubmit claims.
• Maintain Detailed Records: Keep accurate and organized records of all claims, correspondence, and supporting documentation. Update internal databases with the status of claims and document any follow-up actions taken.
• Reporting and Documentation: Generate periodic reports on claims submissions, denials, payments, and outstanding claims. Assist with internal audits and provide necessary documentation as required.