Job Description Looking to take your career to the next level? Then this role is for you! Join Outsourcey and be part of our mission to revolutionize global talent expansion! We connect businesses with dedicated full-time teams in the Philippines, offering cost-efficient solutions without compromising quality. Join us and help elevate businesses with complete control and comprehensive support, let's shape the future of work together! Profile Requirements: Up to 2 Years Experience in dental insurance verification, dental billing, or dental administrationStrong understanding of dental insurance plans, benefits, and terminologyExperience communicating directly with insurance carriers and provider portalsFamiliarity with PPO, HMO, Medicare Advantage, Medicaid, and other insurance plans when applicableStrong attention to detail and accuracy when reviewing insurance informationExcellent organizational and time management skillsAbility to manage a high volume of insurance verifications efficientlyStrong written and verbal communication skillsExperience using dental practice management software and insurance verification systems Prefe windows OS Core responsibilities: Verify dental insurance eligibility, benefits, coverage, deductibles, copays, and annual maximums prior to patient appointments Contact insurance carriers to confirm policy information and coverage details Review treatment plans and determine insurance benefits applicable to proposed procedures Obtain and verify pre-authorizations, referrals, and required documentation when necessary Update patient insurance information accurately within practice management systems Review insurance policies for limitations, exclusions, waiting periods, and frequency restrictions Communicate insurance benefits and estimated patient responsibilities to internal staff when needed Maintain detailed documentation of insurance verification activities and communications Follow up with insurance carriers regarding pending authorizations and eligibility questions Identify and resolve insurance discrepancies before scheduled appointments Coordinate with scheduling, billing, and clinical teams to ensure accurate patient information Assist in reducing claim denials by ensuring proper insurance verification procedures are followed Monitor insurance updates and changes that may impact patient coverage Maintain organized records and documentation related to insurance verification activities Support administrative workflows related to insurance processing and patient records Benefits: Competitive salary Opportunity to shape the HR function of a rapidly growing BPO. Work closely with a team of industry leaders who have successfully scaled BPOs in the past. Career growth and development opportunities. Please attach your CV and we will be in touch for a confidential chat. Let's do great things together! This is a remote position.
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