Job Overview

Our client is looking for a Dental Insurance Verifier 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 (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

Qualifications

• 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