Insurance Plan Specialist

Lane & Associates Family Dentistry; Durham (NC); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Competitive pay

Bonus opportunities (Quarterly)

Employee Assistance Program

Paid time off & holidays

Fridays off at 2 PM

Volunteer opportunities

Job summary

Lane & Associates Family Dentistry is hiring an Insurance Plan Specialist to support revenue protection, ensure accurate insurance data, and link plans to fee schedules. The role focuses on verification, eligibility checks, and maintaining dental plans in Denticon while supporting treatment planning and administrative duties.

The ideal candidate has 1–2 years in dental insurance billing, strong problem-solving skills, and proficiency with dental management software.

Qualifications

• 1–2 years of experience in a dental office or dental insurance billing environment (required)
• Solid knowledge of dental insurance billing, A/R, and fee schedules
• Effective problem-solving skills, especially with denied claims
• Comfortable with computers and dental management software
• High School Diploma or GED required

Responsibilities

• Review practice schedules for upcoming patient appointments
• Contact insurance providers via phone and web portals for verification and eligibility
• Create and maintain insurance plans in Denticon
• Enter group numbers, employer info, maxes, and deductibles
• Record exceptions such as non-duplication, waiting periods, and clauses
• Input benefit details, including frequencies and age limitations
• Attach correct fee schedules and update patient profiles accordingly
• Monitor for and prevent plan duplication
• Support treatment plan accuracy through updated insurance data
• Assist with additional administrative duties as needed

Skills

Detail-oriented

Strong organizational skills

Communication skills

Analytical skills

Education

High School Diploma or GED

Tools

Denticon

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Insurance Plan Specialist

BILLING AND COLLECTIONS Full Time Admin Durham, NC, US

8 days ago Requisition ID: 5993

We are currently seeking an experienced Insurance Plan Specialist to support our continued growth and help us maintain excellence in service and operations. As a Insurance Plan Specialist, you'll play a vital role in safeguarding revenue, ensuring insurance information is accurate and up to date, and supporting seamless treatment planning for our patients. You’ll help reduce outstanding A/R and ensure insurance plans are correctly created, maintained, and linked to appropriate fee schedules.

Key Responsibilities:

Daily, Weekly, & Monthly Tasks include (but are not limited to):

Review practice schedules for upcoming patient appointments

Contact insurance providers via phone and web portals for verification and eligibility

Create and maintain insurance plans in Denticon:

Enter group numbers, employer info, maxes, and deductibles

Record exceptions such as non-duplication, waiting periods, and clauses

Input benefit details, including frequencies and age limitations

Attach correct fee schedules and update patient profiles accordingly

Monitor for and prevent plan duplication

Support treatment plan accuracy through updated insurance data

Assist with additional administrative duties as needed

What You Bring:

Detail-oriented with strong organizational, communication, and analytical skills

1–2 years of experience in a dental office or dental insurance billing environment (required)

Solid knowledge of dental insurance billing, A/R, and fee schedules

Effective problem-solving skills, especially with denied claims

Professional, team-oriented, and dependable

Comfortable with computers and dental management software

High School Diploma or GED required

Ability to lift up 15- 20

Why You’ll Love Working Here:

Competitive pay!

Quarterly Performance Bonus Opportunities!

Employee Assistance Program!

Paid Time Off & Paid Holidays!

Fridays off at 2 PM!

Volunteer opportunities with our Smile Squad to earn awesome prizes!

Fun team events, giveaways & social campaigns year-round!

Birthday and Work Anniversary surprises sent directly from our owners!