Dental Insurance Coordinator

Responsibilities

• Verify patient insurance coverage and eligibility using electronic health records (EHR) systems and insurance portals.
• Accurately code dental procedures using CPT and ICD codes, including ICD-9 and ICD-10 classifications.
• Review medical records and dental charts to ensure proper documentation aligns with clinical confidentiality policies and coding standards.
• Process claims submissions, follow up on unpaid or denied claims, and resolve billing discrepancies efficiently.
• Maintain up-to-date knowledge of health insurance policies, managed care plans, and insurance verification procedures to ensure compliance.
• Provide customer service by addressing patient inquiries related to insurance benefits, coverage limits, and billing concerns.
• Ensure compliance with HIPAA regulations during medical records management and communication.
• Use Microsoft Office tools to generate reports, track claims status, and organize documentation.
• Collaborate with clinical staff to ensure accurate medical terminology usage and proper documentation in EHR.

Qualifications

• Prior experience working in a medical or dental office environment is required.
• Strong understanding of medical terminology and clinical confidentiality policies.
• Demonstrated proficiency in medical coding, medical billing, and insurance verification processes.
• Familiarity with health insurance policies, managed care plans, and prior authorization requirements.
• Experience with EHR or EMR systems is highly preferred.
• Strong knowledge of HIPAA regulations.
• Excellent customer service and communication skills.
• Proficiency in Microsoft Office applications.

• Employee discount
• Health insurance
• Paid time off