Overview We are seeking a dedicated and detail-oriented Dental Insurance Coordinator to join our healthcare team. The ideal candidate will possess a comprehensive understanding of dental insurance policies, managed care processes, and medical billing procedures. In this role, you will serve as a vital link between patients, dental providers, and insurance companies to ensure accurate claims processing, insurance verification, and compliance with confidentiality policies. Your expertise in medical terminology, coding systems, and electronic health records management will contribute to delivering exceptional service and operational efficiency within our dental practice. Responsibilities Verify patient insurance coverage and benefits prior to appointments, ensuring eligibility for dental procedures. Manage insurance prior authorization requests by coordinating with insurance carriers and healthcare providers to secure approvals for complex treatments. Accurately code dental procedures using CPT (Current Procedural Terminology) codes and ICD (International Classification of Diseases) codes, including ICD-9 and ICD-10 classifications. Process claims efficiently through electronic health records (EHR) systems while ensuring compliance with HIPAA regulations and clinical confidentiality policies. Follow up on unpaid or denied claims by communicating with insurance companies to resolve discrepancies or request reprocessing. Maintain detailed medical records and documentation related to billing, coding, and insurance correspondence in accordance with health insurance policy guidelines. Provide exceptional customer service by addressing patient inquiries regarding coverage, billing issues, or claim status updates. Stay informed about changes in health insurance policies, managed care protocols, and medical coding standards to ensure ongoing compliance and accuracy. Qualifications Proven experience in medical office administration within a dental or healthcare setting, with a focus on insurance coordination or billing. Strong knowledge of health insurance policies, managed care processes, and the requirements for insurance verification and prior authorization. Proficiency in medical terminology, CPT coding, ICD-9/ICD-10 coding systems, and ICD coding practices. Experience working with electronic health records (EHR) or electronic medical records (EMR) management systems. Familiarity with Microsoft Office applications for documentation and reporting purposes. Excellent customer service skills with the ability to communicate complex information clearly and professionally. Knowledge of HIPAA regulations and clinical confidentiality policies essential for safeguarding patient information. Ability to multitask efficiently in a fast-paced environment while maintaining attention to detail. Dental office experience is preferred but not mandatory; relevant medical billing or health insurance knowledge is highly valued. Join our team as a Dental Insurance Coordinator to ensure seamless billing operations while providing outstanding support to our patients and healthcare professionals!

Pay:

$18.00 - $22.00 per hour

Work Location:

In person