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Eligibility Coordinator

Job Description - Eligibility Coordinator



Full-time


Description

Duties/Responsibilities:

  • Verify dental insurance benefits (Medicaid, PPO, private plans) prior to appointments
  • Confirm patient eligibility, coverage limits, frequency limitations, waiting periods, and pre-authorizations
  • Identify coordination of benefits (COB) when dual coverage exists
  • Explain insurance benefits and patient financial responsibility to parents/guardians
  • Communicate clearly regarding co-pays, deductibles, and non-covered services
  • Update insurance information in system
  • Additional duties as needed taking out the trash, refilling supplies in restrooms, and any other necessary tasks in our office

Requirements

Requirements

  • At least 1 year of experience in a dental front office setting
  • Customer Service experience
  • Passion for delivering the best experience
  • Ability to collaborate and be team-oriented
  • Knowledge of Medicaid and private dental plans
  • Familiarity with dental procedure codes (CDT codes)

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