Dental Benefits Verification Specialist (Remote)

Job Description

Job Description

Remote Opportunity - Hours 7:30am-4:30pm Monday-Thursday and 8am-2pm on Friday EST.  

Job Summary

The Dental Benefit Verification Specialist plays an essential role in ensuring that patients receive the most accurate and timely verification of their insurance benefits. The role requires collaboration with different departments, including offices, to achieve specific objectives. The Specialist is dedicated to keeping all information current and accurate which greatly enhances the overall quality of patient care and fosters a supportive healthcare environment.

Essential Functions, Duties, and Responsibilities

• Compiles dental insurance verification of benefit and eligibility information within required timeframe.
• Ensures verification of benefit and eligibility information obtained from payer/insurance company is accurately entered to practice management software, including plan details such as, restrictions, coverage, deductibles, remaining benefits, and history.
• Inability to obtain a verification of benefit or incomplete information is reported to the manager immediately.
• Responsible for maintaining a system for initial and subsequent verification of benefits.
• Responsible for daily reporting of verification of benefit activities.
• Prepares and maintains individual patient file, documentation in electronic HIPAA compliant application (box) or patient chart. 
• Keeps supervisor apprised of matters regarding verification of benefits.
• Always represents Company in a professional manner.
• Maintain confidentiality, integrity, and honesty in all NCPEDO affairs.
• Other duties as assigned. 

The above cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and Experience Requirements  

• High school diploma or equivalent.
• At least 2 years of experience account audits for a fast-paced dental practice. Proficiency of one or more dental software systems: Open Dental, Eaglesoft, Dentrix or others.
• Intermediate experience in Microsoft Office, such as: Outlook, Word, and Excel. Proficient in PDF and/or Foxit software. 
• Experience working in dental offices or insurance verification preferred.

Knowledge, Skills, and Abilities

1. Familiar with dental terminology
2. Strong interpersonal skills including professionalism.
3. Strong written and verbal communication skills. 
4. Quick learner, personable, friendly, and a team player.
5. Ability to assess problems and troubleshoot to find solutions.
6. Excellent organizational skills.
7. Strong customer service skills.
8. Be able to work independently with minimal supervision.
9. Must be able to work with multiple changing priorities.
10. Abide by HIPAA guidelines and patient privacy policies.