Dental Insurance Verification and Claim Specialist

Expert in verifying patient's Dental Insurance Breakdown of Benefits and Eligibility. Knowledgeable in US Based Dental Insurances, including ADA codes. Proficient in assessing Dental Claims, Pre-D and EOBs. Excellent in resolving customer inquiries via phone and email and consistently creating a positive and professional attitude in all interactions for better customer satisfaction.

HIPAA Compliant. Maintains proficiency with office and Dental Electronic Health Records (e.g., Microsoft Excel, Google Sheets, Dentrix, Open Dental, Curve, etc.). Capable in documenting and maintaining accurate records of customers data and transactions and updating records as needed to ensure information is current and correct.

Strong understanding of dental insurance plans from different insurance companies (UHC, Aetna, Anthem, BCBS, Guardian, Principal, etc.), excellent communication skills, and attention to detail. Efficient in verifying patient insurance coverage, confirming benefits, and ensuring that all insurance details are accurate and current before dental procedures are performed.

Fluent in English communication. Excellent in resolving customer inquiries via phone and email. Consistently creating a positive and professional attitude in all interactions for better customer satisfaction while maintaining accurate records of their data and transactions.

Experienced in creating visually compelling graphics for social media, presentations, posters, and marketing materials using Canva’s suite of tools.

Competent in reviewing and resolving rejected or denied claims, making corrections and resubmitting as necessary. Tracks claim statuses and follow up on unpaid claims to ensure timely payments. Efficient in monitoring accounts receivable and manage collections for overdue payments. Records and tracks payments received for accurate account management. Experienced in reviewing patient treatment records to accurately assign billing codes (CDT) for each procedure. Knowledgeable in preparing and submitting claims to insurance providers promptly.