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