Dental Insurance Trainer

This is a fully remote position, open to applicants in North Carolina, +1 more state.

📋 Description

• Provide expertise and guidance to affiliated practice personnel to enhance participation in Dental commercial insurance and Dental Medicaid.

• Conduct regular chart audits to ensure adherence to third-party payor contractual agreements.

• Train and offer continuous support to practice staff and support teams on plan management and maximizing revenue.

• Examine patient ledgers within practice management software to confirm billing procedures and the integrity of clinical records.

• Detect and report any breaches in protocol.

• Organize and facilitate remedial training sessions on Medicaid and insurance for clinic staff as necessary.

• Keep track of policy and coverage amendments, reimbursement rules, and the laws and regulations that govern billing and collection practices.

• Address insurance-related inquiries and requests from field teams concerning enrollment, eligibility verification, claims processing, and accounts receivable for both insurance and patients.

• Input fee schedules, plans, and updates for insurance and Medicaid into Dentrix.

• Diagnose and resolve practice issues pertaining to plan policies, coverage, Dentrix, and technology interfaces.

• Document daily activities, practice calls, and emails within Salesforce.

• Execute additional duties as assigned or as new opportunities present themselves.

⛳️ Requirements

• A background in dental insurance is required.

• A training background is highly preferred.

• Experience in delivering virtual training, including setup, facilitation, post-session tracking, and measurement of success.

• At least an intermediate understanding (6/10) of dental insurance processes, including PPO plan structures, coordination of benefits, and both in-network and out-of-network claims processing.

• A foundational comprehension of state Medicaid programs and the ability to adapt to varying state regulations.

• Exceptional multi-tasking abilities and the capability to manage and prioritize a moderate volume of email correspondences.

• Aptitude to create and present impromptu training or refresher sessions.

• Proficiency in Dentrix Enterprise is required; experience with EagleSoft is a strong advantage.

• Prior exposure to or experience with fixed dental cases (All-on-X) is preferred.

• Initiative, adaptability, and a strong focus on customer service.

• Willingness and ability to travel up to 75% for on-site training support and team facilitation.

• Capability to interpret and communicate insurance regulations effectively.

• Excellent verbal and written communication skills.

• Ability to conduct training sessions via telephone, in-person, and/or online platforms.

• Strong problem-solving skills; organized, accurate, and meticulous.

• Capacity to adjust work schedules, handle competing demands, prioritize tasks, plan work activities, and develop action plans.

• Proficiency in all Microsoft Office applications.

• An associate's degree is required.

• A minimum of five years of experience in commercial insurance or Medicaid is preferred.

• Dental coding and billing experience is preferred.

• Proficiency in a Microsoft Windows environment.

• Familiarity with dental or medical software; Dentrix is preferred.

• Knowledge in creating and delivering training course material.

• Strong interpersonal communication, analytical, critical thinking, attention to detail, multi-tasking, and both oral and written communication abilities.

• Ability to work independently as well as collaboratively within a team environment.

🏝️ Benefits

• Up to 75% travel requirement for on-site training and support across the United States.

• Training and ongoing support for practice staff and support teams.

• Opportunities to conduct virtual, telephone, in-person, and online training sessions.