Insurance Coordinator

Benefits 401(k) Employee discounts Paid time off Training & development Dental Insurance Coordinator Job Description The Dental Insurance Coordinator is responsible for managing all aspects of dental insurance processing to ensure accurate billing, timely claim submission, and proper reimbursement for services. This role serves as a liaison between patients, insurance companies, and the dental team to verify coverage, explain benefits, and resolve claim issues. Key Responsibilities Insurance Verification: Verify patient dental insurance eligibility and benefits prior to appointments; review coverage limitations, frequencies, deductibles, and maximums and input this information into OpenDental; communicate estimated patient portions to patients and front office staff. Claims Processing: Prepare and submit accurate dental insurance claims electronically and by mail; attach necessary documentation including narratives, x-rays, and periodontal charts; track claim status and ensure timely processing. Accounts Receivable Management: Follow up on outstanding insurance claims; post insurance payments and adjustments accurately to patient accounts; investigate denied or delayed claims and initiate appeals when necessary. Patient Communication: Explain insurance benefits, estimates, and remaining balances to patients when necessary; assist patients in understanding their coverage and financial responsibility; answer insurance-related questions professionally and clearly. Coordination with Dental Team: Work with dentists and hygienists to obtain clinical documentation needed for claims; communicate insurance limitations that may affect treatment planning; help ensure treatment plans are properly coded and documented for insurance submission. Administrative Duties: Maintain accurate patient insurance records in the practice management software; stay current with insurance guidelines, coding updates, and payer policies; assist Office Manager with monthly insurance aging reports and financial reconciliation. Qualifications Previous experience in a dental office preferred – on the job training is offered for the right candidate. Knowledge of dental terminology, CDT codes, and insurance processes. Experience with dental practice management software (Dentrix, Eaglesoft, Open Dental, etc.). Strong attention to detail and organizational skills. Excellent communication and customer service skills. Skills Insurance claim management and troubleshooting. Accounts receivable follow-up. Dental coding knowledge. Time management and multitasking. Patient communication and financial explanation. Work Environment Dental office setting. Primarily administrative/front office role. Requires frequent communication with patients, insurance companies, and dental team members. #J-18808-Ljbffr Centre Smiles Dental