Dental Insurance Coordinator

Job Overview

We are seeking a proactive and detail-oriented Dental Insurance Coordinator to join our dynamic healthcare team. In this vital role, you will serve as the primary point of contact for dental insurance processes, ensuring seamless communication between patients, dental providers, and insurance companies. Your expertise will help optimize insurance claims, verify coverage, and facilitate smooth billing operations. This position offers an exciting opportunity to contribute to excellent patient care while navigating the complexities of dental insurance policies and managed care systems. Your energetic approach and strong organizational skills will drive efficiency and elevate the patient experience.

Responsibilities

• Verify patient insurance coverage and eligibility prior to appointments using electronic health records (EHR) systems and insurance portals.
• Obtain prior authorization for dental procedures by communicating effectively with insurance providers and managing documentation requirements.
• Accurately code dental procedures using CPT (Current Procedural Terminology) codes, ICD (International Classification of Diseases) codes, including ICD-9 and ICD-10 classifications, to ensure proper billing.
• Review medical records and dental charts to ensure compliance with clinical confidentiality policies and accurate medical terminology usage.
• Submit clean claims electronically or via paper to insurance carriers, track claim status, and follow up on unpaid or denied claims promptly.
• Maintain detailed records of insurance verifications, claim submissions, payments, and correspondence in accordance with HIPAA regulations.
• Collaborate with the dental team to resolve billing issues, answer patient inquiries regarding insurance benefits, and provide exceptional customer service throughout the process.

Skills

• Strong knowledge of health insurance policies, managed care processes, and dental insurance procedures.
• Proficiency in medical office software including EMR/EHR systems and Microsoft Office applications for documentation and reporting.
• Familiarity with dental coding systems essential for accurate billing and claims processing.
• Experience with insurance prior authorization procedures and verification processes.
• Understanding of clinical confidentiality policies such as HIPAA to protect patient information at all times.
• Excellent customer service skills with the ability to communicate clearly and professionally with patients, providers, and insurance representatives.
• Knowledge of Dental terminology related to dentistry and healthcare documentation standards.
• Ability to manage electronic health records (EHR) efficiently while maintaining accuracy in medical records management.

Join us in delivering outstanding dental care by ensuring that all insurance processes are handled smoothly! Your dedication will help improve patient satisfaction while supporting our mission of providing accessible, high-quality dental services through expert coordination of insurance workflows.

Pay: $27.44 - $33.05 per hour

Expected hours: 20.0 – 24.0 per week

Benefits:

• 401(k)
• Dental insurance

Work Location: In person