DENTAL BILLING AND INSURANCE VERIFICATION SPECIALIST

Position Summary:

The Billing/Insurance Verification Specialist is responsible for ensuring accurate and timely verification of insurance coverage, billing, and payment processing. This role requires a detail-oriented individual who can navigate healthcare insurance systems, interact with patients and providers, and resolve discrepancies to ensure efficient revenue cycle management.

Key Responsibilities:

Insurance Verification:

• Verify patient insurance coverage and eligibility prior to appointments or procedures.
• Confirm policy details, including copays, deductibles, and coverage limitations.
• Obtain necessary pre-authorizations or referrals from insurance companies.
• Communicate with insurance carriers to clarify benefits and resolve discrepancies.

Billing:

• Prepare and submit accurate claims to insurance companies for reimbursement.
• Review claims f...