Remote Plan Administrator

ProSmile Holdings, LLC; United States; Remote; USD 45,000 - 65,000; Full time

Job summary

ProSmile Holdings, LLC seeks a detail‑oriented Insurance Billing Administrator to manage daily operations of dental insurance plans. You will create fee schedules, coordinate with insurers, and input patient insurance data into the Practice Management System.

Ideal candidates have 2–4 years in dental insurance billing, proficiency in Dentrix Enterprise/SOE, and strong communication and organizational skills to support accuracy and timely processing.

Qualifications

• Proficient in Microsoft Office, Excel, SharePoint and must have experience using website or software applications to find, review, edit and submit insurance applications.
• Required experience: 2-4 years of dental insurance and billing experience, preferably dental insurance.
• Software experience: Dentrix Enterprise/SOE software.

Responsibilities

• Create and update Insurance Fee Schedules, Plans, and rules in Practice Management Systems.
• Contact insurance companies annually or as needed to ensure Fee Schedules are up to date.
• Process and input patients' insurance breakdown into the system.
• Set up insurance payers on EFT/ERA with each carrier if available.
• Set up Insurance Websites and assist with insurance file maintenance.
• Assist with the third-party verification team and special projects as directed.

Skills

Dental insurance billing

Data analysis

Time management

Communication

Tools

Dentrix Enterprise

SOE (Software of Excellence)

Microsoft Office

SharePoint

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.

FullTime

30+ days ago Requisition ID: 3158

POSITIONSUMMARY

Administeringandmanagingday-to-dayOperationsofDentalInsurancePlans

ESSENTIALFUNCTIONS

• Create and update Insurance Fee Schedules, Plans, and rules in to PracticeManagementSystems.
• Contact insurance companies annually or as needed to ensure FeeScheduleare uptodate.
• Processandinputpatients’insurancebreakdownintosystem.
• Setup Insurance Payers on Electronic Financial Transaction (EFT/ERA) witheach Insurance Carrierifavailable.
• SetupInsuranceWebsites.
• AssistwithInsurancefilemaintenance.
• Assist our third-party verification team with any related questions.Assist inSpecialProjectsasdirectedbyManagement.

JOBQUALIFICATIONS

• Abilitytoworkandlearndifferentsoftware.
• Abilitytoanalyzeandinterpretfinancialandinsurancedata.
• Abilitytoworkandfollowthepoliciesandproceduresaccurately.
• Ability to juggle competing demands, prioritize and manage time well(bothself and others)evenwhentime isshort.
• Dependability and outstanding organizational ability with digital files,withfocusedattentiontodetailandfollowthrough.
• Excellent interpersonal skills, include the ability to communicateclearlybothverballyand inwriting.

REQUIRED ANDPERFERREDQUALIFICATIONS

• Proficient in Microsoft Office, Excel, SharePoint and must haveexperience using Website or software applications to find, review, editandsubmitinsurance application.
• Required Experience: 2-4 years of Dental insurance and billingexperience, preferablydentalinsurance.
• Software Experience: Dentrix Enterprise/Software of Excellence (SOE).