Job Title: Dental Eligibility & Verification Specialist

Job Summary:
The Dental Eligibility & Verification Specialist is responsible for verifying patients’ dental insurance coverage, perks, and eligibility prior to treatment. This role ensures accurate insurance information is obtained and documented to support proper billing, minimize claim denials, and enhance patient experience.

Key Responsibilities:
Verify patient dental insurance eligibility and benefits (PPO, HMO, Medicaid, etc.)
Contact insurance companies via phone or online portals to confirm:
Coverage effective dates
Deductibles and maximums
Frequencies and limitations
Waiting periods
Missing tooth clauses
Downgrade policies
Document verification details accurately in the practice management system
Communicate benefit breakdown to front desk and treatment coordinators
Identify pre-authorization requirements
Review patient schedules to ensure insurance is verified prior to appointments
Resolve insurance discrepancies and coverage issues
Maintain HIPAA compliance and patient confidentiality




Support billing team to reduce claim denials

Required Qualifications:
High school diploma or equivalent (Associate’s degree preferred)
1+ year experience in dental insurance verification or dental front office
Knowledge of dental terminology and CDT coding
Understanding of PPO, HMO, Medicaid, and commercial dental plans
Experience with dental practice management software (e.g., Dentrix, Eaglesoft, Open Dental)
Strong attention to detail and data entry accuracy
Excellent communication and phone skills

Preferred Skills:
Ability to interpret EOBs (Explanation of Benefits)
Strong organizational and time management skills
Ability to handle high call volumes
Problem-solving mindset

Work Environment:
Full-time
Monday-Friday

Job Types: Full-time, Permanent, Fresher

Pay: ₹15,000.00 - ₹17,000.00 per month

Perks:
Versatile schedule
Health insurance
Paid sick

📌 Customer Service Representative Ahmedabad (India)
🏢 Astron E Services
📍 India