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DENTAL ELIGIBILITY & BENEFITS VERIFICATION SPECIALIST | PERMANENT REMOTE JOB
Are you a detail-oriented dental insurance pro who loves solving puzzles and helping patients get the care they need? We’re looking for a Dental Eligibility & Benefits Verification Specialist to join our fast-growing team. You’ll play a crucial role in verifying insurance coverage for U.S. dental practices—reducing claim denials, streamlining billing, and ensuring patients get the care they deserve. Your expertise will make a direct impact every day!
What you'll do?
- Verify patient eligibility and active dental coverage before appointments
- Review benefits including deductibles, annual maximums, and frequency limits
- Confirm PPO/network status and navigate complex plan details
- Document verification accurately in PMS (Dentrix, Eaglesoft, Open Dental, etc.)
- Communicate insights to dental office and billing teams
- Use insurance portals and connect directly with payers
What We’re Looking For?
- 2+ years of experience in U.S. dental insurance verification
- Strong knowledge of PPOs, waiting periods, and annual maximums
- Familiarity with CDT codes and dental PMS software
- Experience with major insurers like Delta Dental, Cigna, Aetna, and MetLife
- Excellent documentation skills and strong HIPAA compliance knowledge
- Willing to work night shifts (U.S. business hours)
- Must be able to start immediately
Extra Points For
- Experience reducing claim denials
- Understanding of Coordination of Benefits (COB) and claims processes
Why Cliniqon?
- Permanent work-from-home
- Retention bonus
- Performance bonus
- Immense growth opportunities
- Company-provided assets
- HMO coverage
- Many more benefits
If you’re organized, proactive, and passionate about making insurance simple for patients and dental teams, this is your chance to shine!
Send you resume to aalvior@cliniqon.com
Job Type: Full-time
Benefits:
- Health insurance
- Life insurance
- Opportunities for promotion
- Paid training
- Pay raise
- Work from home
Application Question(s):
- o you have 2 or more years of experience verifying U.S. dental insurance coverage?
- Are you familiar with PPO plans, waiting periods, and annual maximums?
- Do you have experience using dental PMS software such as Dentrix, Eaglesoft, or Open Dental?
- Have you previously worked with major dental insurers like Delta Dental, Cigna, Aetna, or MetLife?
- re you able to work remotely during U.S. time zones with a reliable internet connection and secure workspace?
Work Location: Remote