Insurance Verification Specialist at Hampton Roads Pediatric Dentistry – Yorktown, Virginia

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.

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.