Insurance Verification Specialist

Job Description: Insurance Verification Specialist (Dental Billing Domain)

Job Location: Sector-63 Noida

Position Overview:
An Insurance Verification Specialist in the dental billing domain is responsible for ensuring accurate and timely verification of patients' dental insurance coverage. This role involves coordinating with insurance providers, updating coverage details in practice management software, and supporting dental practices in streamlining their billing processes.

Key Responsibilities:

• Insurance Verification:
• Verify patients' insurance eligibility, benefits, and coverage details.
• Identify and confirm coverage for dental procedures, including limitations, waiting periods, and frequency.
• Coordination with Insurance Providers:
• Contact insurance companies via phone, email, or online portals to verify coverage details.
• Resolve discrepancies and clarify unclear benefits or policy terms.
• Documentation and Data Entry:
• Accurately document verified insurance information, including deductibles, co-pays, and maximum coverage limits, in practice management systems (e.g., Dentrix, Open Dental, Eaglesoft).
• Maintain up-to-date records of insurance plans and patient data.
• Support for Billing Processes:
• Provide detailed breakdowns of insurance coverage to the billing team.
• Collaborate with claims specialists to ensure accurate submission of claims.
• Customer Service:
• Assist dental offices by responding to inquiries regarding patient insurance coverage.
• Educate patients on their insurance benefits and out-of-pocket costs.
• Compliance and Confidentiality:
• Ensure compliance with HIPAA and other regulatory guidelines in handling patient information.
• Stay informed about changes in insurance policies, codes, and regulations.

Skills and Qualifications:

• Educational Requirements: High school diploma or equivalent (required). Additional training in medical or dental billing is preferred.
• Experience:
• Minimum of 6 month of experience in insurance verification or dental billing.
• Familiarity with dental procedures, terminology, and insurance codes (e.g., CDT codes).
• Technical Skills:
• Proficiency in dental practice management software (e.g., Dentrix, Eaglesoft, Open Dental).
• Knowledge of insurance portals and verification processes.
• Soft Skills:
• Strong communication and interpersonal skills.
• Detail-oriented with excellent organizational and time-management abilities.
• Ability to work in a fast-paced environment and meet deadlines.

Work Environment:

• May involve occasional overtime to meet tight deadlines.

Job Benefits:

• Competitive salary with performance-based incentives.
• Opportunities for professional growth and training in dental billing and insurance practices.

Job Type: Full-time

Pay: ₹15,000.00 - ₹20,000.00 per month

Benefits:

• Flexible schedule
• Work from home

Experience:

• total work: 1 year (Preferred)

Work Location: In person