Dental Eligibility Specialist
$22 per hourDental Eligibility Specialist – Hybrid (Oakland, CA) Are you ready to make dental healthcare seamless and accessible for patients? Join our collaborative team as a Dental Eligibility Specialist, where your expertise directly empowers patients and clinics by clarifying insurance coverage. Partnering with our recruitment team gives you a dedicated career ally offering transparent guidance and advocacy throughout the hiring process. How You Make an Impact
shift: First
work hours: 8 AM - 5 PM
education: Bachelors Responsibilities . Skills
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact View email address on randstadusa.com. Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility). This posting is open for thirty (30) days. Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.
- Verify & Validate Coverage: Obtain comprehensive benefit breakdowns using payer portals, electronic tools, and direct telephone outreach.
- Translate Complex Policies: Interpret annual maximums, deductibles, coverage tiers, exclusions, and CDT procedure codes to ensure precise financial estimates.
- Streamline Documentation: Accurately record eligibility details in Epic, supporting smooth treatment planning, billing, and claims processing.
- Resolve Coverage Discrepancies: Proactively research conflicting or missing data directly with insurance carriers to safeguard patient care pathways.
- 3+ years of experience in dental insurance eligibility, benefits verification, or dental revenue cycle operations.
- Proven ability to navigate payer portals, interpret CDT codes, and conduct direct telephone verifications with carriers.
- Demonstrated analytical attention to detail and sound judgment when evaluating dental benefit structures.
- Preferred: Prior experience with Epic or dental software (e.g., Dentrix, Eaglesoft).
shift: First
work hours: 8 AM - 5 PM
education: Bachelors Responsibilities . Skills
- Dental Eligibility Specialist
- dental benefits verification
- dental billing
- dental revenue cycle
- CDT procedure codes
- dental terminology
- Epic dental eligibility
- PPO
- Medicaid
- DHMO
- Dentrix
- Denticon
- Eaglesoft
- Open Dental
- Dentrix Ascend
- MS Office
- Years of experience: 3 years
- Experience level: Experienced
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact View email address on randstadusa.com. Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility). This posting is open for thirty (30) days. Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.
Vacancy posted 17 days ago
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