Dental Insurance Coordinator

Dental Insurance Coordinator – Job Duties

Primary Responsibilities

• Insurance Verification: Accurately verify patient insurance coverage and eligibility before appointments, including plan limitations, frequency, and copayments.

• Benefit Coordination: Calculate and present estimated out-of-pocket costs to patients, ensuring they understand their financial responsibility.

• Pre-Authorizations: Prepare, submit, and track pre-authorizations and pre-determinations for dental procedures as required by insurance carriers.

• Claim Submission: Accurately prepare and submit electronic and paper claims with correct CDT codes, attachments, and narratives.

• Accounts Receivable Follow-Up: Monitor outstanding claims, perform timely follow-ups with insurance companies, and appeal denied claims when necessary.

• Patient Communication: Professionally discuss benefits, coverage, and claim status with patients and answer their insurance-related questions.

• Documentation: Maintain accurate and detailed patient insurance records, claim notes, and correspondence for audit readiness.

Administrative & Team Support

• Collaborate with front desk and treatment coordinator to provide accurate treatment estimates.

• Work with billing and collections staff to resolve patient account issues.

• Stay current on insurance plan updates, coding changes (CDT codes), and industry trends.

• Maintain compliance with HIPAA and patient confidentiality regulations.

Skills & Qualifications

• Strong understanding of dental insurance terminology and claims process.

• Knowledge of CDT coding and familiarity with dental practice management software (Open Dental).

• Excellent communication and problem-solving skills.

• High attention to detail and ability to meet deadlines.

deal Candidate Traits:

• People-Oriented: Builds trust and rapport easily

• Detail-Oriented: Focuses on accuracy and thoroughness

• Achievement-Driven: Motivated by results and goals

• Independent: Works effectively with minimal supervision

• Calm Under Pressure: Performs well in fast-paced settings

Benefits:

• Hourly rate $19.00 to $23.00 

• Holiday Pay

• Vacation Pay

• Health Insurance Reimbursement

• Dental Benefits