SUMMARY

We are looking for an energetic and motivated Insurance Verification Specialist to support the operations of our multi-location dental practice by verifying insurance coverages, managing pre-authorizations, and overseeing ADA coding eligibility for patient procedures and treatment plans.

The ideal candidate has prior experience in dental setting, is able to work both independently and as a part of a team, and is comfortable with sensitively communicating patient financial responsibility based on available benefits. If this sounds like you... we'd love to hear from you!

KEY RESPONSIBILITIES

• Verifying dental insurances, treatment planning and pre authorizations.
• Verifying insurance coverages for new patients or referrals, and updating information for existing patients if/when necessary.
• Calling insurance companies to obtain pre-authorizations for recommended services and procedures.
• Overseeing ADA coding eligibility based on patients' insurance plans.
• Explaining financial responsibility to patients based on their dental benefits.
• Processing patient routers according to the patients’ insurance carriers.
• Assisting offices with questions regarding insurance benefits and frequencies.
• Multi-tasking with great attention to detail in a fast-paced environment.
• Communication between patients, offices, staff members, and insurance companies.

QUALIFICATIONS

• High school diploma or GED certificate, required.
• Associates degree, or equivalent experience, required.
• Prior experience in a dental setting, required.
• Working knowledge of dental terms such as co-payments, in-network fees, benefit limitations, and percentage coverages and codes.
• Knowledge of CPT codes and basic medical terminology, preferred.
• Experience using Dentrix software is a strong plus.
• Knowledge in Microsoft applications and Adobe software.
• Team player, self-motivated, and thrives in fast-paced environments.
• Demonstrated ability to work independently, to take initiative, and to be resourceful.
• Possess good judgment with a willingness to accept responsibility.
• Willingness tolearn and train to improve your skills on a daily basis.

Work Environment:

• Busy, team-oriented multi-location dental office environment.
• Frequent use of phone and computer systems.
• Regular interaction with patients, insurance companies, and internal staff.

Why you should join us!

At Hampton Roads Pediatric Dentistry, our goal is to provide high-quality pediatric dentistry care to children of all ages in a fun, child-friendly environment. Our experienced pediatric dentists are here to help give your child a healthy, beautiful smile for life. It is our Mission to practice with positivity, kindness, optimism, and empathy.