Job Overview

Our client is looking for a Dental Insurance Verification Specialist who will be responsible for verifying patients’ dental insurance coverage, eligibility, and benefits prior to scheduled appointments and treatment. This position plays a critical role in reducing claim denials, improving patient communication, and ensuring accurate billing and collections.

Schedule: Monday - Friday, 8:00 AM - 5:00 PM EST, with 1 hour unpaid break (40 work hours per week)

Responsibilities

• Verify active dental insurance coverage and patient eligibility prior to appointments
• Confirm detailed benefits including deductibles, frequencies, waiting periods, annual maximums, limitations, and exclusions (e.g., downgrades, missing tooth clauses)
• Check coverage for preventive, basic, major, endodontic, periodontal, oral surgery, and orthodontic services
• Determine in-network/out-of-network status and review coordination of benefits (COB) for patients with multiple plans
• Accurately document verification details in the practice management system and ensure HIPAA compliance
• Follow up with insurance carriers on discrepancies, denied claims, and benefit-related inquiries while coordinating with administrative teams

Requirements

• Previous dental insurance verification experience preferred, with knowledge of PPO, HMO, and Medicare Advantage plans
• Familiarity with dental terminology, CDT codes, procedures, and dental practice management systems (e.g., Dentrix, Eaglesoft, Open Dental) preferred
• High school diploma or equivalent required
• Strong attention to detail, organization, and ability to multitask, with the ability to work efficiently in a fast-paced environment
• Excellent communication and customer service skills

Skills

• Dental insurance eligibility verification
• Coordination of benefits knowledge
• Insurance portal navigation

Independent Contractor Perks

• Health Insurance Coverage for eligible locations
• Permanent work from home
• Immediate hiring

Note

Please click the "Apply" button to complete your application, including the assessment questions, technical check, and voice recording. Your hourly pay rate will be established based on your performance in the application process; submissions with all requirements fulfilled will receive priority review.

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