Dental Insurance Verification, Claims Specialist

This is a fully remote position, open to applicants in Philippines.

📋 Description

• Confirm patient insurance eligibility, active coverage, and comprehensive benefit details

• Examine annual and lifetime maximums, deductibles, coverage percentages, benefit limitations, prior treatment dates, frequency limitations, missing-tooth clauses, exclusions, and policy restrictions

• Communicate with insurance companies to secure precise and thorough benefit breakdowns

• Record verification outcomes to aid in treatment planning and reduce insurance-related complications

• Assist with the submission and processing of dental insurance claims

• Monitor pending, unpaid, rejected, or denied claims

• Follow up with insurance providers to clarify claim discrepancies and resolve payment delays

• Support claim appeals, corrections, and resubmissions

• Keep accurate claim records and provide updates on unresolved insurance matters

• Schedule and reschedule patient appointments

• Maintain organized provider calendars

• Dispatch appointment confirmations, reminders, and follow-up communications

• Coordinate scheduling adjustments with patients and practice staff

• Help ensure smooth appointment flow and reduce scheduling challenges

• Potentially manage inbound and outbound patient calls

• Update patient information and documentation in dental practice management systems

• Aid in patient care coordination and follow-ups

• Provide general administrative and virtual front-desk support as necessary

⛳️ Requirements

• Prior hands-on experience with thorough dental insurance verification, ideally within a US-based dental practice

• Strong understanding of dental insurance benefits, encompassing eligibility, annual maximums, treatment history, frequency limitations, missing-tooth clauses, and exclusions

• Experience in supporting dental claims submissions, insurance follow-ups, denials, and appeals

• Familiarity with dental EHR/practice management software

• Ability to navigate various dental software platforms and quickly adapt to new systems

• Experience in patient scheduling, appointment coordination, and calendar management

• Exceptional attention to detail, organizational abilities, and capacity to manage multiple priorities

• Outstanding verbal and written communication skills in English

• Proactive, dependable, resourceful, and comfortable working independently

• Adaptable team player eager to learn new workflows and take on additional responsibilities

• Must be proficient in clearly and professionally communicating in English

• Relevant, practical work experience in dental insurance verification and related administrative processes is essential

• Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding

• Must be available for video meetings with the camera on as required

• Must exhibit professionalism, reliability, confidentiality, and the ability to work independently

• Reliable laptop or desktop computer is necessary

• Stable high-speed internet connection of at least 25 Mbps is required

• Noise-canceling headset is needed

• A working webcam is essential

• A quiet and professional work environment is mandatory

• Experience with Eaglesoft or Curve Dental is highly preferred but not obligatory

• A dental or medical degree is not a specified requirement

• A professional medical or dental license is not required

🏝️ Benefits

• Dedicated HR & Contractor Support Team

• Premium VPN Access (Optional)

• HIPAA & Cybersecurity Training + Certification (Provided)

• Top 1% VA Performance Training

• Client-Approved U.S. Holidays

• Client-Approved Paid or Unpaid Time Off

• Access to Tools & Resources

• Optional Performance-Based Incentives

• Optional bonuses, incentives, or increased hours based on performance

• Independent contractor perks and client-approved allowances