Dental Eligibility Specialist

Flexton Inc.; Oakland (CA); On-site; USD 60,000 - 70,000; Full time

Job summary

Flexton Inc. is seeking a Dental Eligibility Specialist for Oakland, CA. The role requires 3+ years in dental insurance verification, benefits coordination, or dental billing, with knowledge of CDT codes and Epic.

You will verify eligibility, obtain detailed benefit breakdowns, and document coverage information accurately in the patient record. Key responsibilities include reviewing benefits, communicating with carriers, and ensuring accurate coverage data for claims processing and patient

Qualifications

• 3+ years of dental insurance verification, dental billing, or dental benefits experience.
• Strong knowledge of dental terminology, CDT codes, and dental insurance plans.
• Experience with payer portals and dental practice management systems.
• Strong communication, attention to detail, and multitasking skills.

Responsibilities

• Verify dental insurance eligibility and benefits using payer portals and electronic systems.
• Contact insurance carriers directly by phone to clarify missing or incomplete benefit information.
• Review deductibles, annual maximums, coverage percentages, frequencies, limitations, and exclusions.
• Interpret CDT procedure codes and dental insurance benefits.
• Identify discrepancies and follow up with insurance carriers as needed.

Skills

Dental terminology

CDT codes

Communication

Attention to detail

Multitasking

Tools

Payer portals

Dental practice management systems

Epic

Job description

Hi, this is Mounika with Flexton, I have an amazing opportunity with one of our best clients in the Bay Area!

*****Only W2*****

Role: Dental Eligibility Specialist

Location: Oakland, CA

Job Summary:

We are seeking an experienced Dental Eligibility Specialist with 3+ years of dental insurance verification, benefits coordination, or dental billing experience. The ideal candidate will verify dental insurance eligibility, obtain detailed benefit breakdowns, and accurately document coverage information in Epic.

Key Responsibilities:

• Verify dental insurance eligibility and benefits using payer portals and electronic systems.
• Contact insurance carriers directly by phone to clarify missing or incomplete benefit information.
• Review deductibles, annual maximums, coverage percentages, frequencies, limitations, and exclusions.
• Interpret CDT procedure codes and dental insurance benefits.
• Identify discrepancies and follow up with insurance carriers as needed.

Required Qualifications:

• 3+ years of dental insurance verification, dental billing, or dental benefits experience.
• Strong knowledge of dental terminology, CDT codes, and dental insurance plans.
• Experience with payer portals and dental practice management systems.
• Strong communication, attention to detail, and multitasking skills.