Dental Insurance Verification Specialist | Permanent WFH

We are seeking an experienced Dental Insurance Verification Specialist to support the front-end revenue cycle by ensuring patients dental insurance eligibility and benefits are accurately verified before their appointments.

This role is responsible for reviewing insurance coverage, interpreting dental benefits, documenting plan details, and providing accurate information to help the dental team set clear expectations around coverage and patient financial responsibility. The ideal candidate has strong knowledge of dental insurance, is comfortable working with CDT codes and payer portals, and can maintain accuracy in a high-volume environment.

Key Responsibilities

• Verify dental insurance eligibility and benefits for new and existing patients.
• Confirm active coverage, effective dates, plan type, and in-network/out-of-network participation.
• Review and document deductibles, remaining balances, annual maximums, and remaining benefits.
• Verify coverage for preventive, basic, major, and orthodontic services.
• Review waiting periods, frequency limitations, missing tooth clauses, downgrades, alternate benefits, and other plan restrictions.
• Determine patient-specific coverage for scheduled procedures using CDT codes and applicable plan guidelines.
• Obtain benefit information through insurance portals, payer websites, electronic verification systems, and direct calls to insurance carriers.
• Contact insurance companies to clarify incomplete, conflicting, or unclear benefit information.
• Accurately enter and update insurance information in the dental practice management system.
• Provide verified benefit details to front-office, scheduling, billing, and clinical teams.
• Assist with calculating patient estimates and anticipated insurance payments.
• Identify discrepancies between patient information, insurance records, and system documentation.
• Maintain detailed records of verification activity, including reference numbers and payer communication.
• Escalate complex benefit or eligibility issues to the appropriate supervisor or billing team.
• Follow established workflows and quality-control procedures to minimize insurance and billing errors.
• Maintain patient confidentiality and comply with HIPAA and organizational privacy requirements.
  
  

Qualifications

• 2+ years of experience in dental insurance verification, dental billing, dental front office, or a related revenue cycle role preferred.
• Strong working knowledge of dental insurance terminology, plan structures, and benefit limitations.
• Familiarity with CDT procedure codes and common dental procedures.
• Experience using dental insurance portals and payer websites.
• Proficiency with computer systems, data entry, and dental practice management software.
• Excellent attention to detail and a high level of accuracy.
• Strong written and verbal communication skills.
• Ability to manage multiple verification requests while meeting productivity and turnaround-time expectations.
• Ability to work independently while collaborating effectively with dental, billing, scheduling, and administrative teams.
• Experience working with major dental insurance carriers such as Delta Dental, Cigna, Aetna, MetLife, Guardian, and UnitedHealthcare Dental.
• Experience with Dentrix, Eaglesoft, Open Dental, or similar dental practice management systems.
• Experience supporting multi-location dental practices or Dental Service Organizations (DSOs).
• Experience in high-volume dental insurance verification or dental revenue cycle operations.
• Amenable to work during US hours
• Must be willing to undergo a background check as part of the hiring process.
  
  

Perks

• Permanent Work From Home
• Leave Credits
• Monetary Allowance
• Annual Bonus
• Weekly Paychecks
• Fixed Weekends Off
• Thriving Company Culture with Complete Autonomy
• Exclusive Specialized Training Programs
• Unlock Your Potential with a Highly Competitive Salary
  
  

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Who are we

BizForce is one of the fastest-growing global outsourcing companies in the world, founded in the US in Tucson, Arizona and is now operational in PH!

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.