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Dental

Insurance Plan Specialist

Durham, NCOnsiteFull TimeEntry-level (exp-based)Posted 10 days ago

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Nice to have

  • dental office
  • dental insurance billing
  • A/R
  • fee schedules
  • denied claims
  • Denticon

Role summary

We are seeking an experienced Insurance Plan Specialist to join our team and support our continued growth. In this role, you will be responsible for safeguarding revenue, ensuring insurance information accuracy, and supporting seamless treatment planning for patients. Your duties will include managing insurance plans in Denticon, verifying eligibility with providers, updating fee schedules, and resolving claim issues. This position requires 1-2 years of experience in a dental office or dental insurance billing environment, strong organizational and analytical skills, and knowledge of dental insurance billing and A/R.

Now Hiring: Insurance Plan Specialist 

We are currently seeking an experienced Insurance Plan Specialist to support our continued growth and help us maintain excellence in service and operations. As a Insurance Plan Specialist, you'll play a vital role in safeguarding revenue, ensuring insurance information is accurate and up to date, and supporting seamless treatment planning for our patients. You’ll help reduce outstanding A/R and ensure insurance plans are correctly created, maintained, and linked to appropriate fee schedules.


Key Responsibilities:

Daily, Weekly, & Monthly Tasks include (but are not limited to):

  • Review practice schedules for upcoming patient appointments

  • Contact insurance providers via phone and web portals for verification and eligibility

  • Create and maintain insurance plans in Denticon:

    • Enter group numbers, employer info, maxes, and deductibles

    • Record exceptions such as non-duplication, waiting periods, and clauses

    • Input benefit details, including frequencies and age limitations

    • Attach correct fee schedules and update patient profiles accordingly

  • Monitor for and prevent plan duplication

  • Support treatment plan accuracy through updated insurance data

  • Assist with additional administrative duties as needed


What You Bring: 

  • Detail-oriented with strong organizational, communication, and analytical skills

  • 1–2 years of experience in a dental office or dental insurance billing environment (required)

  • Solid knowledge of dental insurance billing, A/R, and fee schedules

  • Effective problem-solving skills, especially with denied claims

  • Professional, team-oriented, and dependable

  • Comfortable with computers and dental management software

  • High School Diploma or GED required

  • Ability to lift up 15- 20


Why You’ll Love Working Here:

  • Competitive pay!

  • Comprehensive Insurance Coverage (after 90 days!) – Health, Vision, Dental, Life, Disability, FSA & more!

  • 401(k) Employer Contribution Plan (after 90 days!)

  • Quarterly Performance Bonus Opportunities!

  • Employee Assistance Program!

  • Uniform Allowance!

  • Paid Time Off & Paid Holidays!

  • Fridays off at 2 PM!

  • Volunteer opportunities with our Smile Squad to earn awesome prizes!

  • Fun team events, giveaways & social campaigns year-round!

  • Birthday and Work Anniversary surprises sent directly from our owners!

  • Employee discounts at major retailers!

  • and so much more!

Ready to apply?
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