Dental Insurance Verification, Claims Specialist

🔥 1 minute ago

🇵🇭 Philippines – Remote

💵 $5.2k - $6.2k / year

⏱ Part Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

👻 Ghost score 14%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Winning Assistants LLC

WebsiteLinkedInAll Job Openings

51 - 200 employees

💼 Consulting

📣 Marketing

📦 Logistics

Consulting • Marketing • Logistics

Winning Assistants LLC is a staffing and recruiting company that provides virtual assistants from the top 1% of the global talent pool. They specialize in helping doctors, healthcare professionals, and business owners save time, reduce costs, and scale operations with highly skilled, HIPAA-compliant virtual assistants. Their services include admin support, medical office management, marketing, and customer service, allowing clients to focus on growth.

📋 Description

• Verify patient insurance eligibility, active coverage, and detailed benefit information • Review annual and lifetime maximums, deductibles, coverage percentages, benefit limitations, prior treatment dates, frequency limitations, missing-tooth clauses, exclusions, and policy restrictions • Contact insurance companies to obtain accurate and complete benefit breakdowns • Document verification results to support treatment planning and minimize insurance-related issues • Assist with dental insurance claim submissions and processing • Monitor outstanding, unpaid, rejected, or denied claims • Follow up with insurance companies to resolve claim discrepancies and payment delays • Assist with claim appeals, corrections, and resubmissions • Maintain accurate claim records and provide updates on unresolved insurance issues • Schedule and reschedule patient appointments • Maintain organized provider calendars • Send appointment confirmations, reminders, and follow-up communications • Coordinate scheduling changes with patients and practice staff • Help maintain efficient appointment flow and minimize scheduling issues • Potentially handle inbound and outbound patient calls • Update patient information and documentation in dental practice management systems • Assist with patient care coordination and follow-ups • Provide general administrative and virtual front-desk support as needed

🎯 Requirements

• Previous hands-on experience with comprehensive dental insurance verification, preferably within a US-based dental practice • Strong knowledge of dental insurance benefits, including eligibility, annual maximums, treatment history, frequency limitations, missing-tooth clauses, and exclusions • Experience supporting dental claims submissions, insurance follow-ups, denials, and appeals • Familiarity with dental EHR/practice management software • Ability to navigate multiple dental software platforms and quickly adapt to new systems • Experience with patient scheduling, appointment coordination, and calendar management • Strong attention to detail, organizational skills, and ability to manage multiple priorities • Excellent verbal and written English communication skills • Proactive, reliable, resourceful, and comfortable working independently • Adaptable team player willing to learn new workflows and take on additional responsibilities • Must be proficient in speaking and writing English clearly and professionally • Must have relevant, practical work experience in dental insurance verification and related administrative processes • Must be able to submit an NBI Clearance and/or Local Police Clearance before onboarding • Must be available for video meetings with the camera on when needed • Must demonstrate professionalism, reliability, confidentiality, and ability to work independently • Reliable laptop or desktop computer • Stable high-speed internet connection, minimum 25 Mbps • Noise-canceling headset • Working webcam • Quiet and professional work environment • Eaglesoft or Curve Dental experience is highly preferred but not required • A dental or medical degree is not specified as a requirement • A professional medical or dental license is not required

🏖️ Benefits

• Dedicated HR & Contractor Support Team • Premium VPN Access (Optional) • HIPAA & Cybersecurity Training + Certification (Provided) • Top 1% VA Performance Training • Client-Approved U.S. Holidays • Client-Approved Paid or Unpaid Time Off • Access to Tools & Resources • Optional Performance-Based Incentives • Optional bonuses, incentives, or increased hours based on performance • Independent contractor perks and client-approved allowances