Overview

Join a growing dental practice where your technical expertise in insurance verification directly impacts patient care and operational excellence. This role offers the autonomy to manage complex dental PPO plans while utilizing modern practice management systems to ensure 100% accuracy in coverage verification.

Schedule: Part-time, 4 hours per day, 20 hours per week, Monday to Friday, from 10:00 AM to 2:00 PM (Rockaway, NJ time zone - EST)

Responsibilities

• Perform comprehensive insurance breakdowns and verification for dental patients using the Archie practice management system
• Identify and correct existing patient insurance plan inaccuracies in the database to ensure proper coverage verification
• Verify insurance coverage, benefits, and eligibility for both new and existing patients
• Communicate professionally with insurance companies through multiple channels including phone, fax, email, and online portals
• Input accurate insurance information for new patients, including carrier details, payer IDs, and plan specifics
• Handle complex insurance-related inquiries and follow up on verification requests to ensure timely resolution
• Ensure insurance carrier information and payer IDs accurately match patient coverage details
• Collaborate with practice management to streamline insurance processes and improve operational efficiency
• Maintain and submit a Daily Task Sheet without fail, providing full transparency on daily output and pending tasks.
• Prioritize the verification of the daily hygiene schedule to ensure 100% coverage for upcoming appointments.

Requirements

• Healthcare, medical, or dental background with understanding of industry terminology is a must (Direct experience in a dental clinic or as a Dental Assistant is highly preferred)
• Knowledge of dental procedure codes and terminology (such as scaling procedures and related codes)
• Proven experience with insurance verification, breakdown processes, and benefits coordination
• Excellent communication skills for professional interactions with insurance representatives and practice staff
• Customer service experience with demonstrated ability to handle phone communications professionally
• Experience with practice management systems (Archie system experience highly valued)
• Strong attention to detail and ability to work independently while managing multiple verification tasks simultaneously
• Ability to adapt quickly in a growing practice environment and contribute to process improvements
• Exceptional mathematical accuracy (99% goal) with a proven ability to calculate used vs. remaining annual maximums and deductibles correctly.
• Proven ability to maintain high-volume output, aiming for at least 20 comprehensive breakdowns per 4-hour shift.
• High level of responsiveness on Slack and other communication channels during designated shift hours.
• Strong preference for candidates with specific experience in Dental Insurance PPO plans and fee schedules.

Independent Contractor Perks

• 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.