Dental Claims and Eligibility Coordinator

Job Description :

We are seeking a detail-oriented and organized Dental Insurance Verification Agent to join our dental practice team. This role is responsible for the timely submission of dental insurance claims, tracking payments, following up on outstanding balances, and ensuring the accuracy of accounts receivable. The ideal candidate will have experience with dental billing software and a strong understanding of insurance claim processes.

Key Job Responsibilities :

• Verify insurance eligibility and dental benefits for new and existing patients via phone calls, payer websites, or electronic verification tools.
• Verify coverage details, including plan effective dates, frequency limitations, waiting periods, annual maximums, deductibles, co-pays, and non-covered services.
• Document all verified information accurately and timely in the dental management system.
• Contact insurance companies directly for clarifications on ambiguous or missing information.
• Identify and escalate issues such as inactive policies, coverage lapses, or unclear benefit rules to the appropriate team.
• Communicate benefit details to front office or treatment coordinators to support accurate treatment planning and financial estimates.
• Maintain confidentiality and HIPAA compliance at all times.
• Meet or exceed daily productivity goals and accuracy standards.
• Support claim submission and billing teams by ensuring that verified insurance information is complete and up-to-date.

Requirements :

High-speed Internet, PCwith two screens, headset, and a webcam

What you can expect with a career with our team!