Rockstar Dental Insurance & Claims Tracing Specialist

Overview

Looking for full-time work (8 hours/day)

at $13.27/hour ($2,560.00/month)

Bachelors degree

Last Active

July 4th, 2026 (6 days ago)

Member Since

May 23rd, 2017

Profile Description

WORK EXPERIENCE

Dr. Joyce Lam, D.D.S.
July 2023 – October 2025 
Dental Claims Tracing Specialist

Proactively followed up on outstanding dental claims by contacting insurance companies through phone calls and payer portals to ensure timely resolution and reimbursement.

Retrieved and verified key claim status information, including total amount paid by payer, check or EFT number and payment status (issued/cashed), patient financial responsibility (e.g., copay, deductible, coinsurance), denied, reduced, or downgraded codes with specific denial reasons (e.g., missing documentation, non-covered services), and claim ID, service dates, and adjustment codes.

Requested faxed copies of Explanation of Benefits (EOBs) to support internal documentation, appeals, or audit requirements.

Utilized Google Sheets to clearly and accurately document payer responses, claim updates, and next-step actions, maintaining organized and up-to-date trackers for team reference.

Flagged claims requiring further action.

Prioritized claim follow-ups based on aging reports, filing deadlines, and payer-specific timelines to avoid timely filing denials.

Ensured HIPAA compliance and safeguarded patient data confidentiality during all claim-related communication and documentation.

Prompted patient forms if patient information and health history had not been updated in the past year.

Downloaded and uploaded patient photos.

Downloaded and uploaded scans to the dental lab.
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Dentistry Support
July 2021 – January 2023
Support Advocate / Team Lead
Dental Insurance Specialist 

Responsible for overseeing all aspects of eligibility insurance verification for assigned tea ---------- mbers.

Monitored external and internal chats for areas of improvement or recognition to share with the team.

Trained new hires and assigned tasks.

Verified insurance coverage for each patient.

Updated patient insurance benefits.

Called insurance companies to obtain dental coverage breakdowns.

Managed data entry tasks within Open Dental, Dentrix software and Eaglesoft.

Assisted in updating and maintaining patient records.

Facilitated transfer of digital files and documents.

Navigated through Open Dental software to assist with additional tasks as needed.

Assisted in handling basic insurance-related matters.

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SKILLS & TOOLS
Self-motivated and able to follow instructions and take direction well.

Strong attention to detail.

Eager to learn.

Well-organized.

Responsible and dependable.
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Software and Tools:

MS Word, MS Excel, MS Teams, Google Drive/Sheets, Open Dental, Dentrix, Eaglesoft, Vyne Trellis, Splashtop, Dental Exchange, Slack