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Dental Insurance Verification Specialist

Posted 2 months ago
0-2 years experience
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AI Summary

The specialist is responsible for verifying patient dental insurance eligibility, benefits, and coverage details prior to appointments. They also coordinate with dental offices and insurance companies to resolve discrepancies and ensure accurate billing information.

Position Overview
We are seeking a detail-oriented and reliable Dental Insurance Verification Specialist to join our remote team. This role is responsible for verifying patient insurance coverage, benefits, and eligibility to ensure accurate billing and smooth patient coordination. The ideal candidate has strong experience in dental insurance processes, excellent communication skills, and a high level of accuracy.

Key Responsibilities

  • Verify patient dental insurance coverage, eligibility, and benefits prior to appointments

  • Review and document plan details including deductibles, maximums, waiting periods, frequencies, and limitations

  • Confirm coverage for procedures such as preventive, basic, and major services

  • Communicate insurance benefits clearly to patients and internal staff

  • Coordinate with dental offices and insurance companies via phone, portals, and email

  • Identify discrepancies and resolve insurance-related issues proactively

  • Ensure accurate entry of insurance information into practice management systems

  • Assist with pre-authorizations and breakdown of benefits as needed

  • Maintain compliance with HIPAA and data privacy standards

  • Support billing and front office teams with insurance-related inquiries

Qualifications

  • At least 1–2 years of experience in dental insurance verification or dental billing

  • Strong understanding of dental insurance plans (PPO, HMO, indemnity)

  • Familiarity with CDT codes and common dental procedures

  • Experience using dental practice management software (e.g., Dentrix, Eaglesoft, Open Dental, CareStack)

  • Excellent English communication skills (verbal and written)

  • Strong attention to detail and organizational skills

  • Ability to multitask and work independently in a remote environment

Please note: This job post does not guarantee immediate client onboarding. Once you successfully complete the full recruitment process, your profile will be added to our talent pool for future client placements that match your qualifications and experience.

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