Dental Insurance Verification Specialist

Requirement: HIPAA Certified
Work Setup: Permanent Work From Home
⏲️ Schedule: Full-Time | 40 hours/week
Hours: U.S. Business Hours

About the Role

We’re looking for an experienced Insurance Verification Specialist to join a growing U.S.-based healthcare practice.

If you have hands-on experience verifying commercial insurance, completing detailed benefit breakdowns, and navigating payer portals, we’d love to hear from you.

You will handle approximately 20 insurance verifications per day, ensuring accuracy, completeness, and HIPAA compliance.

What You’ll Do

• Verify commercial insurance eligibility and benefits

• Contact U.S. insurance carriers via phone

• Navigate insurance payer portals

• Complete detailed benefit breakdowns (deductibles, copays, coinsurance, etc.)

• Confirm in-network and out-of-network coverage

• Identify prior authorization requirements

• Document verification notes accurately in EMR systems

• Prioritize verifications based on upcoming appointments

• Communicate coverage concerns with the healthcare team

• Maintain strict HIPAA & PHI compliance

What we're looking for:

• 2+ years of U.S. healthcare or dental insurance verification experience

• Active HIPAA Certification (or completed HIPAA training)

• Strong knowledge of insurance benefits and terminology

• Experience with commercial insurance plans

• Comfortable making outbound calls to U.S. insurance carriers

• Experience using EMR/EHR and payer portals

• Excellent English communication skills

• Detail-oriented and able to manage high-volume workloads

Must Haves

• Dental, oral surgery, or specialty healthcare experience

• WinOMS & Weave experience

• Insurance claims and follow-up experience

• Treatment plan or patient account support experience

Nice to Have

• Open Dental, Dentrix, Eaglesoft, or Curve experience

Please note: This job post does not guarantee immediate client onboarding. Once you successfully complete the full recruitment process, your profile will be added to our talent pool for client placements that match your qualifications and experience.