Insurance Plan Specialist We're currently seeking an experienced Insurance Plan Specialist to support our continued growth and help us maintain excellence in service and operations. We have have openings in our Durham, Greenville and Angier offices.
As a Insurance Plan Specialist, you'll play a vital role in safeguarding revenue, ensuring insurance information is accurate and up to date, and supporting seamless treatment planning for our patients. Youll help reduce outstanding A/R and ensure insurance plans are correctly created, maintained, and linked to appropriate fee schedules.
Key Responsibilities:
Daily, Weekly, & Monthly Tasks include (but are not limited to):
Review practice schedules for upcoming patient appointmentsContact insurance providers via phone and web portals for verification and eligibilityCreate and maintain insurance plans in
Denticon:
Enter group numbers, employer info, maxes, and deductiblesRecord exceptions such as non-duplication, waiting periods, and clausesInput benefit details, including frequencies and age limitationsAttach correct fee schedules and update patient profiles accordinglyMonitor for and prevent plan duplicationSupport treatment plan accuracy through updated insurance dataAssist with additional administrative duties as needed
What You Bring:
Detail-oriented with strong organizational, communication, and analytical skillsSolid knowledge of dental insurance billing, A/R, and fee schedulesEffective problem-solving skills, especially with denied claimsProfessional, team-oriented, and dependableComfortable with computers and dental management softwareHigh School Diploma or GED required12 years of experience in a dental office or dental insurance billing environment (required)Ability to lift up 15- 20Please note: you will be required to travel to our Durham Miami office for initial training