Dental Insurance Billing Specialist

About the Role

DocsDocs Technologies is hiring Dental Insurance Billing Specialists to support our partner dental clinics. This role covers insurance eligibility and benefits verification, claim preparation and submission, payment posting, and revenue cycle management (RCM). You will help clinic teams maintain accurate billing records, resolve insurance issues, and follow accounts through to resolution. Candidates may be based anywhere in the world.

Key Responsibilities

• Insurance Verification and Benefits
• Verify patient eligibility and benefits before scheduled services using payer portals and approved communication channels.
• Review coverage details, deductibles, annual maximums, frequency limitations, waiting periods, and plan conditions relevant to planned treatment.
• Record verification results clearly, flag missing information, and follow up on discrepancies with the payer or clinic team.
• Support preauthorization and predetermination workflows where required.
• Claim Preparation and Submission
• Review patient demographics, insurance details, provider information, and treatment records for completeness.
• Prepare and submit dental insurance claims through the clinic’s approved systems.
• Check that procedure information and supporting documentation match the clinical record; route clinical or coding questions to the appropriate clinic team member.
• Track claim acceptance, correct rejected submissions, and follow up on missing attachments or information.
• Payment Posting and Reconciliation
• Post insurance payments, patient payments, and approved adjustments to the correct accounts.
• Review explanation-of-benefits and remittance documents, reconcile posted amounts, and flag discrepancies.
• Investigate underpayments, unapplied payments, and unresolved balances with the appropriate team.
• Keep a clear record of payments, adjustments, and follow-up actions.
• Revenue Cycle Management and Follow-up
• Monitor outstanding claims and accounts receivable, prioritize follow-up, and keep account notes current.
• Investigate denials and delayed payments, identify the reason, and support corrected claims or appeals with the required documentation.
• Communicate with insurance representatives and clinic staff to resolve billing issues.
• Identify recurring errors and suggest practical improvements to verification, claim submission, and payment-posting workflows.

Requirements & Tech Stack

• Comfort with dental practice management software, payer portals, spreadsheets, and billing work queues is useful.
• Handle patient information confidentially through authorized systems and follow each clinic’s privacy and security procedures.
• Escalate uncertain coverage, coding, or account issues to the appropriate person before making changes.

Qualifications

• Demonstrate dental insurance billing knowledge and careful handling of account information.
• Relevant experience includes eligibility verification, claims processing, payment posting, denial follow-up, or dental RCM.
• Clear written notes, accurate data entry, organized follow-up, and professional communication are central to the role.
• Familiarity with dental terminology, procedure codes, and remittance documents will help you work effectively with clinic teams.