Dental Insurance Biller and Verification Specialist

Job Summary We are looking for a detail-oriented Insurance Biller and Verification Specialist with experience in Open Dental. The ideal candidate will handle insurance billing, verification, and claim management with accuracy and efficiency. This role requires a deep understanding of CDT codes, dental insurance policies, and proficiency in using Open Dental software to manage patient records and claims. Key Responsibilities 1. Insurance Billing and Claims Management • Utilize Open Dental software to prepare, submit, and monitor dental insurance claims. • Ensure timely follow-up on unpaid or denied claims, including resubmissions and appeals. • Accurately post insurance payments, write-offs, and adjustments to patient accounts. • Generate monthly reports on claim status and accounts receivable. 2. Insurance Verification • Verify patient insurance coverage, including eligibility, benefits, deductibles, and frequency limitations. • Update Open Dental records with verified insurance details and benefit breakdowns. • Communicate insurance changes or restrictions to patients and team members. 3. Patient Account Management • Educate patients on their insurance coverage and financial responsibilities. • Prepare and distribute patient statements and manage payment plans in Open Dental. • Address patient inquiries regarding claims, balances, and payment processes. 4. Compliance and Reporting • Ensure all claims are coded correctly using CDT codes and adhere to HIPAA regulations. • Maintain accurate documentation of insurance verification, claims, and payments. • Provide regular updates to the team on claim statuses and insurance policy changes. 5. Collaboration and Training • Work closely with the front office team to streamline insurance-related processes. • Assist in training team members on Open Dental software and insurance protocols. Qualifications • Experience: Minimum of 2 years in dental insurance billing and verification, with experience using Open Dental software. • Knowledge: Strong understanding of CDT codes, dental insurance plans, and claim processes. • Skills: • Proficient in Open Dental software. • Excellent communication and organizational skills. • Ability to manage multiple tasks and deadlines with high attention to detail. • Problem-solving skills to resolve claim issues effectively. • Compliance: Understanding of HIPAA and other regulatory requirements. Benefits • Competitive salary based on experience. • Health insurance and retirement benefits. Job Type: Full-time Pay: $18.85 - $25.00 per hour Expected hours: 40 per week Benefits: • Health insurance Schedule: • 8 hour shift Work Location: In person Apply Job!