Insurance Coordinator

Socket.dev; Mebane (NC); On-site; USD 30,000 - 37,000; Full time

Benefits offered by this job

BCBS Medical & Dental

Vision coverage

Life insurance (employee)

Short-term & Long-term disability

Pet insurance

401(k) with match

HSA / FSA

Identity Theft Protection

Legal Services

Hospital/Accident/Critical Care

Paid Time Off

Job summary

Specialty1 Partners's Triangle Implant Center in Mebane, NC seeks an Insurance Coordinator to manage dental insurance claims and educate patients on coverage and costs. You will work with clinicians and front desk staff to ensure accurate billing and timely submissions, while staying current on Medicaid rules and NC Tracks requirements.

The role emphasizes detail orientation, strong communication, and excellent patient service in a busy specialty practice setting.

Qualifications

• 1+ years experience in dental insurance, billing, or coding.
• Strong understanding of Medicaid and NC Tracks policies.
• Familiarity with dental documentation and coding requirements.

Responsibilities

• Verify dental insurance coverage and benefits.
• Obtain pre-authorizations for treatments from insurance companies.
• Explain coverage and estimated patient costs clearly.
• Submit insurance claims electronically and by mail.
• Follow up on claims, appeals and denials.
• Maintain organized insurance documents and records.
• Update knowledge on Medicaid regulations and policies.
• Collaborate with front desk and clinical teams on codes.

Skills

Dental insurance knowledge

Communication skills

Customer service

Microsoft Office

Education

High school diploma

Tools

Dental practice software

Job description

Our office, Triangle Implant Center - Mebane in Mebane, NC is seeking a detail-oriented and knowledgeable Insurance Coordinator to join our busy specialty practice. This role is essential in ensuring our patients receive the maximum benefits from their insurance coverage while maintaining compliance with billing and insurance regulations.

Job Summary

As an Insurance Coordinator, you will play a vital role in managing insurance claims and ensuring accurate, timely processing. The ideal candidate will have a strong understanding of dental billing, coding, and insurance policies, including Medicaid and NC Tracks, while also providing excellent support to patients and our clinical/administrative teams.

Your Responsibilities

• Verify patients’ dental insurance coverage and benefits
• Communicate with insurance companies to obtain pre-authorizations for treatments
• Assist patients in understanding their insurance coverage and estimated costs
• Submit accurate and timely insurance claims electronically and via mail
• Follow up on outstanding insurance claims, appeals, and denials
• Manage insurance claims efficiently, ensuring timely submission and follow-up
• Communicate with healthcare providers, clients, and insurance companies to resolve discrepancies or issues related to claims
• Maintain organized files and records of all insurance-related documents
• Stay updated on changes in Medicaid regulations and insurance policies
• Collaborate with the front desk and clinical teams to ensure accurate patient information and treatment codes
• Provide excellent customer service by addressing insurance-related inquiries and concerns
• Educate patients on available payment options for uncovered services
• Provide clerical support as needed
• Help facilitate/coordinate other office responsibilities as needed

Your Background

• At least 1+ years of previous experience in a similar role (dental insurance, billing, or coding)
• Proven experience in insurance claims processing (including Medicaid and NC Tracks) is highly valued
• High school diploma or equivalent required
• Familiarity with dental practice management software and Microsoft Office Suite
• Strong organizational skills with the ability to manage multiple tasks efficiently
• Knowledge of dental documentation requirements and procedures
• Excellent communication and interpersonal skills to interact effectively with patients, colleagues, and insurance representatives
• Detail-oriented with the ability to maintain accurate records and documentation
• Problem-solving skills to address insurance claim discrepancies and denials
• Professional, patient-centric attitude with a strong commitment to customer service
• Must be able to sit and stand for extended periods of time.
• Must be able to operate standard office equipment
• Must be able to assist patients safely in and out of chairs or treatment areas
• Must be able to maintain clinical positioning for extended periods
• Must be able to work around medical equipment and instruments
• Must be able to adhere to OSHA and infection control standards
• Must be able to perform repetitive hand and wrist movements
• Must be able to respond quickly in emergency situations

Why You Should Join Our Team

A career with us is a chance to work with everyone involved in the future of specialty dental care. Dental Assistants, Sterilization Technicians, Specialists, Office Managers, Patient Care Coordinators, and more all work together to improve patient care experiences and clinical outcomes.

We strive to build and maintain an environment where employees from all backgrounds are valued, respected, and supported. You will find a culture of continuous learning and a commitment to helping our team members succeed both at work and beyond.

Your Benefits & Perks

• BCBS Medical & Dental insurance Options
• VSP Vision Coverage
• Complimentary Life Insurance Policy (employee only)
• Short-term & Long-Term Disability
• Pet Insurance Coverage
• 401(k) plan w/match options
• HSA / FSA Account Access
• Identity Theft Protection
• Legal Services Package
• Hospital/Accident/Critical Care Coverage
• Paid Time Off

1107 S Fifth Street, Suite 250 Mebane, NC 27302

#priority

We believe in transparency through the talent acquisition process; we support our team members, past, future, and present, to make the best decision for themselves and their families. Starting off on the right foot with pay transparency is just one way that we are supporting this mission.

Position Base Pay Range $21.50 — $26.50 USD

Specialty1 Partners is the direct employer of non-clinical employees only. For clinical employees, the applicable practice entity listed above in the job posting is the employer. Specialty1 Partners generates job postings and offer letters to assist with human resources and payroll support provided to the applicable practice. Clinical employees include dental assistants and staff assisting with actual direct treatment of patients. Non-clinical employees include the office manager, front desk staff, marketing staff, and any other staff providing administrative duties.

Specialty1 Partners and its affiliates are equal-opportunity employers who recognize the value of a diverse workforce. All suitably qualified applicants will receive consideration for employment based on objective criteria and without regard to the following (which is a non-exhaustive list): race, color, age, religion, gender, national origin, disability, sexual orientation, gender identity, protected veteran status, or other characteristics in accordance with the relevant governing laws. Specialty1 Partners' Privacy Policy and CCPA statement are available for view and download at https://www.specialty1partners.com/privacy-policy/

Specialty1 Partners and all its affiliates participate in the federal government’s E-Verify program. Specialty1 further participates in the E-Verify Program on behalf of the clinical practice entities which are supported by Specialty1. E-Verify is used to confirm the employment authorization of all newly hired employees through an electronic database maintained by the Social Security Administration and Department of Homeland Security. The E-Verify process is completed in conjunction with a new hire’s completion of Form I-9, Employment Eligibility Verification upon commencement of employment. E-Verify is not used as a tool to pre-screen candidates. For up-to-date information on E-Verify, go to www.e-verify.gov and click on the Employees Link to learn more.

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