Dental Benefits & Eligibility Specialist

About CHCRR; Rutland (VT); On-site; USD 38,000 - 48,000; Full time

Benefits offered by this job

Work Life Balance

Generous Time Off

Medical, dental, and vision insurance.

Health savings account option.

Robust 403 (b) retirement savings plan

Comprehensive Wellness Program.

Job summary

Community Health in Rutland, VT is seeking a Dental Eligibility Specialist to verify insurance benefits, determine costs, and coordinate pre-authorizations. You will liaise between patients, dentists, and insurers to maintain accurate accounts and explain coverage and payment options.

The role emphasizes data entry, confidentiality, and strong customer service in a medical office environment, with team collaboration across front desk and clinical staff.

Qualifications

• High School Diploma or equivalent.
• Prior office experience preferably in a medical setting.
• Basic knowledge of computer skills.
• Basic medical terminology preferred.
• Strong customer service skills.
• Must be able to provide information regarding office policy and procedure.
• Must be able to manage emergency situations in a calm manner.
• Must have strong decision-making skills.
• Maintains patient confidentiality.
• Knowledge of dental procedures, terminology, and insurance billing codes is a plus.

Responsibilities

• Verify dental insurance benefits and patients out of pocket costs.
• Submit and follow up on insurance pre-authorizations.
• Review treatment plans and financial options with patients to include sliding fee if applicable.
• Complete data entry on patients’ insurance verification forms.
• Verify patients’ eligibility and dental benefit information by using in-office history, calling insurance companies, looking up benefits online, and receiving benefits via fax.
• Upload completed insurance verification forms and procedure history into patients’ electronic files.
• Update each patient’s account with current coverage information.
• Identify and communicate any insurance concerns with the appropriate departments.
• Reconciles daily batch.
• Maintains patient confidentiality.
• Scans reports and other paperwork into charts.
• Warmly greet and check in patients.
• Verify demographics and insurance information at each visit.
• Answer phones, schedule appointments, and coordinate patient flow.
• Collects payments and posts accurately to patients ledger.
• Maintain a clean, organized, and professional front desk area.
• Work closely with dentists and clinical staff to ensure exceptional patient care.

Skills

Customer service

Basic computer skills

Medical terminology

Dental office knowledge

Communication skills

Data entry

Phone handling

Confidentiality

Organizational skills

Teamwork

Education

High School Diploma or equivalent

Job description

Community Health in Rutland, VT is seeking a Dental Eligibility Specialist to verify insurance benefits, determine costs, and coordinate pre-authorizations. You will liaise between patients, dentists, and insurers to maintain accurate accounts and explain coverage and payment options.

The role emphasizes data entry, confidentiality, and strong customer service in a medical office environment, with team collaboration across front desk and clinical staff.