Dental Insurance Verification & Claims Specialist

Job Title: Dental Insurance Verification & Claims Specialist
Position Type: Part-time
Work Hours: 8:30 AM - 12:30 PM EDT
Work Days: Monday-Friday
Salary: $5-6$ per hour, depending on experience
Workplace: Remote
Preferred Candidate Location: Philippines

About the Practice

Our Client is looking for a detail-oriented and experienced Dental Insurance Verification & Claims Specialist to join a growing dental practice in the United States. This is an excellent opportunity for a proactive and organized professional who has strong experience in dental insurance verification, claims management, and patient scheduling.

Our client is a patient-focused dental practice dedicated to providing comprehensive dental care in a welcoming and professional environment. The practice emphasizes personalized treatment, patient satisfaction, and efficient administrative processes to ensure a smooth experience for every patient.

The ideal candidate is someone who understands dental insurance processes, can confidently communicate with insurance companies, and can independently manage administrative responsibilities while maintaining accuracy and efficiency.

Key Responsibilities

1. Comprehensive Dental Insurance Verification (Top Priority)

• Verify patient insurance eligibility, active coverage, and detailed benefit information.
• Review annual and lifetime maximums, deductibles, coverage percentages, and benefit limitations.
• Verify prior treatment dates, frequency limitations, missing-tooth clauses, exclusions, and other policy restrictions.
• Contact insurance companies to obtain accurate and complete benefit breakdowns.
• Document verification results accurately to support treatment planning and minimize insurance-related issues.

2. Dental Claims Support

• Assist with dental insurance claim submissions and processing.
• Monitor outstanding, unpaid, rejected, or denied claims.
• Follow up with insurance companies to resolve claim discrepancies and payment delays.
• Assist with claim appeals, corrections, and resubmissions when necessary.
• Maintain accurate claim records and provide updates on unresolved insurance issues.

3. Appointment Scheduling & Calendar Management

• Schedule and reschedule patient appointments while maintaining organized provider calendars.
• Send appointment confirmations, reminders, and follow-up communications.
• Coordinate scheduling changes with patients and practice staff.
• Help maintain an efficient appointment flow and minimize schedule

Additional Responsibilities (Potential Future Expansion)

• Handle inbound and outbound patient calls.
• Update patient information and documentation in dental practice management systems.
• Assist with patient care coordination and follow-ups.
• Provide general administrative and virtual front-desk support as needed.

Requirements

Experience & Qualifications

• Required: Previous hands-on experience with comprehensive dental insurance verification, preferably within a US-based dental practice.
• Strong knowledge of dental insurance benefits, including eligibility, annual maximums, treatment history, frequency limitations, missing-tooth clauses, and exclusions.
• Experience supporting dental claims submissions, insurance follow-ups, denials, and appeals.
• Familiarity with dental EHR/practice management software; experience with Eaglesoft or Curve Dental is highly preferred.
• Ability to navigate multiple dental software platforms and quickly adapt to new systems.
• Experience with patient scheduling, appointment coordination, and calendar management.
• Strong attention to detail, organizational skills, and ability to manage multiple priorities.
• Excellent verbal and written English communication skills, especially when speaking with insurance representatives and dental practice staff.
• Proactive, reliable, resourceful, and comfortable working independently.
• Adaptable team player willing to learn new workflows and take on additional responsibilities.

Additional Qualifications

• Prior experience working remotely or as a dental virtual assistant is an advantage.
• A dental or medical degree is not specified as a requirement.
• A professional medical or dental license is not required for the administrative responsibilities described.

Basic Requirements

• Must be proficient in speaking and writing English clearly and professionally.
• Must have relevant, practical work experience in dental insurance verification and related administrative processes.
• Must be able to submit an NBI Clearance and/or Local Police Clearance before onboarding (mandatory).
• Must be available for video meetings with the camera on when needed.
• Must demonstrate professionalism, reliability, confidentiality, and the ability to work independently.

Technical Requirements

• Computer: Reliable laptop or desktop computer.
• Internet: Stable high-speed internet connection (minimum 25 Mbps).
• Audio: Noise-canceling headset.
• Video: Working webcam for virtual meetings.
• Workspace: Quiet and professional work environment.

Benefits

• Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication.
• Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks.
• HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients.
• Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention.
• Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule.
• Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client.
• Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best.
• Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.

These are optional resources and client-approved allowances available to you as an independent contractor. Any resources, training, or allowances listed are optional contractor perks and not employee benefits.