Dental RCM & Insurance Claims Specialist

Sage Dental; Boca Raton (FL); Hybrid; USD 45,000 - 65,000; Full time

Job summary

Sage Dental is seeking a Dental Claims Administrator/Insurance Coordinator to handle insurance billing, coordination of benefits, and carrier communications at our Boca Raton Support Center. The role covers multiple locations and emphasizes accurate posting, collections, and timely claims processing.

Ideal candidates will have 2 years of dental billing experience, familiarity with Dentrix, and strong communication skills.

Qualifications

• 2 years dental insurance/billing experience required.
• Experience in reviewing x-rays.
• Knowledge in dental coding and medical terminology.
• Dentrix software experience preferred (2 years).
• Proficiency with Word, Excel, Outlook.

Responsibilities

• Process insurance billing and posting payments for multiple practices.
• Coordinate and monitor accounts receivable and collections.
• Process appeals to insurance companies.
• Run and review reports for accuracy of aging and collections.
• Communicate with carriers, staff and patients to resolve issues.

Skills

Dental insurance billing

Interpersonal skills

Attention to detail

Communication

Multi-tasking

Education

Dental billing certification (preferred)

Tools

Dentrix

MS Office

Job description

Sage Dental Management is a leading, rapidly growing Dental Service Organization (DSO) committed to innovation, excellence, and patient-centered care.

Overview

Our Dental Claims Administrator/Insurance Coordinator processes insurance billing, coordination of benefits, and ongoing communications with insurance carriers. This is not a remote position - it is based at our Support Center in beautiful Boca Raton, FL.

Responsibilities

• Insurance Coordination and Accounts Receivable for multiple remote dental locations.
• Responsible for processing appeals to insurance companies
• Processes all insurance billing, posting payments and claim estimates for multiple assigned dental practices.
• Coordinates and processes payments from insurance carriers and troubleshoots any issues related to these payments.
• Ensures coordination of benefits is accurate and considered as part of the financial planning.
• Serves as a liaison between insurance carriers, staff and patients to resolve any concerns and maintain a positive working relationship.
• Ensures all insurance related duties are completed in a timely and accurate manner to ensure excellent patient relations and financial success for multiple dental locations.
• Achieves revenue goals by effectively managing collections and receivables, specialty, insurance billing and all accounts receivables follow up.
• Processes all forms of insurance payments.
• Assists designated offices with appropriate payment and insurance processes.
• Responsible for accounts receivables to include, sending of billing statements, aging reports, and collections.
• Ensure proper fee schedules are paid out.
• Guidance from Senior Director of RCM & assigned insurance carriers. Responsible for running reports from reporting system (SageNet) for accuracy of collecting, processing outstanding aging claims.
• Other duties as required.
• Recognize and report discrepancies to Supervisors and Management.
• Communicate with customers via phone and email to help gather missing details and support documentation.

Qualifications

• 2 years dental insurance/billing experience is required (Certification Preferred).
• Experience in reviewing x-rays.
• Knowledge in dental coding and medical terminology.
• 2 years of use of Dentrix dental software (preferred).
• Accuracy and organization are a must.
• Strong interpersonal skills with the ability to build rapport with patients, staff and insurance carriers.
• Proficiency with Microsoft Office products, including Word, Excel, and Outlook required.
• Strong written and verbal communication skills.
• Well organized and detail oriented with the ability to multi-task and meet departmental goals in a fast paced, highly competitive environment with a focus on customer service.
• Ability to maintain composure when facing change or working under pressure.
• Ability to establish and maintain positive working relationships.

What Sage Offers

Be part of a purpose-driven organization transforming dental care. Collaborate with a passionate, innovative team. Access to cutting-edge technology and professional development resources. Competitive compensation and benefits.