Midwest Dental supports great local dentists across the United States. Our culture of joy sets us apart from other dental organizations. Joy leads to better care, better ideas, and better outcomes. It creates wonderful patient experiences and rewarding careers.
The Dental Insurance Specialist provides support to our dental offices by posting dental insurance payments and researching patient accounts to ensure the accuracy of posted payments. This position also focuses on processing denied dental insurance claims, researching and entering dental insurance profiles and fielding telephone calls from dental offices regarding insurance payments.
Review an explanation of benefit (EOB) and problem solve a situation to determine the dollar amount to be posted as well as determine applicable insurance adjustments and/or refunds
Creates and submits electronic claims to insurance companies
Reviews rejected claims at the clearinghouse
Provides webinar and one on one training of correcting rejecting claims
Follows up on claims not submitted to the carrier correctly
Updates treatment plans and resubmits any necessary claims
Follows up on any profile not calculating correctly
Hosts monthly webinars on how to set up profiles
Reconciles patient accounts
Completes refund requests
Distributes refund to patient or insurance carrier
Prints, scans and tracks EOB insurance claims
Sends primary EOB to secondary insurance companies as needed
Copies, scans and shreds appropriate documents
Verifies batches that are scanned
Administers insurance website maintenance
Will be expected to perform any and all related duties as assigned by manager
Education and/or Work Experience Requirements
High school diploma and one (1) or more years of relevant experience working with dental or medical insurance claims. One (1) or more years working in a dental office setting is preferred.
Required Knowledge and Skills
License and Certification Requirements
A valid Driver’s license
Physical Requirements and Working Conditions
Work is performed in a standard office environment.