Dental Benefits & Insurance Claims Specialist

High End Hiring; Merced (CA); On-site; USD 34,000 - 41,000; Full time

Benefits offered by this job

Employee discount

Paid time off

Job summary

High End Hiring seeks a Dental Insurance Coordinator to join a family-owned dental practice in California. You will assist patients with insurance benefits and liaise with insurers to manage claims.

Key duties include reviewing plans, documenting insurance data, determining eligibility and payment estimates, educating patients, submitting and following up on claims, providing predetermination docs, and handling insurance inquiries daily. Schedule: Mon-Fri 8:00–5:00; pay $25–$30/hour.

Qualifications

• Studies the insurance plans that are used most frequently with patients to understand the various nuances of each plan in order to communicate more effectively.
• Documents basic insurance information on the patient’s chart for quick reference.
• Determines insurance eligibility, limitations and payment estimates necessary to facilitate financial arrangements.
• Educates patients, as necessary, regarding insurance, their responsibility and basic terminology.
• Processes and submits insurance claims daily.
• Monitors and follows-up on outstanding claims.
• Sends information as requested by insurance companies such as x-rays, charting, narratives and other documentation for processing the claim when applicable.
• Provides insurance predetermination documentation to patients if required, contacts the patient to make financial arrangements, and schedules treatment.
• Corresponds with insurance companies to resolve payment delays, requests for additional information, or to discuss treatment that has been denied coverage.
• Handles all inquiries concerning insurance on a daily basis.

Responsibilities

• Assists patients with insurance benefits and communicates with insurance companies regarding claims.
• Studies plans to understand nuances and documents basic insurance information.
• Determines eligibility and payment estimates to facilitate financial arrangements.
• Educates patients about insurance and their responsibilities.
• Processes and submits insurance claims daily.
• Monitors and follows-up on outstanding claims.
• Sends documentation to insurers (x-rays, narratives) for processing.
• Provides predetermination documents to patients and schedules treatment.
• Resolves payment delays and denial issues with insurers.
• Responds to daily insurance inquiries.

Skills

Insurance communication

Patient education

Documentation

Eligibility checks

Claims processing

Education

2+ years experience in Dental billing/insurance coordination

Job description

High End Hiring seeks a Dental Insurance Coordinator to join a family-owned dental practice in California. You will assist patients with insurance benefits and liaise with insurers to manage claims.

Key duties include reviewing plans, documenting insurance data, determining eligibility and payment estimates, educating patients, submitting and following up on claims, providing predetermination docs, and handling insurance inquiries daily. Schedule: Mon-Fri 8:00–5:00; pay $25–$30/hour.