Dental Intake & Eligibility Specialist

Pinnacle Family Health Inc•West Monroe, LA

2d•$20 - $23

About The Position

The Dental Intake & Eligibility Specialist supports the dental practice by managing patient intake, verifying insurance eligibility, processing dental claims, and performing front-office administrative duties. The role helps ensure smooth patient flow, accurate billing, timely reimbursement, and excellent customer service. Responsibilities include greeting and checking patients in and out, managing appointment flow, answering calls, scheduling appointments, collecting and updating patient information and forms, explaining treatment plans and financial policies, processing payments, maintaining reception areas, and handling mail, faxes, and documents. The specialist verifies dental insurance benefits and patient costs, obtains required pre-authorizations and referrals, records insurance information, and communicates coverage findings to providers and patients. The role also includes creating and submitting claims with appropriate CDT codes and documentation, monitoring and following up on outstanding claims, correcting denied claims, posting EOBs, reconciling accounts, resolving insurance discrepancies, and assisting with billing reports, adjustments, and aging accounts.

Requirements

High school diploma or equivalent.
Strong computer competency, including MS Office, electronic health records, and document scanning.
Strong understanding of HIPAA regulations.
Experience with patient scheduling.
Experience with health insurance verification, insurance billing, and payment data.
Experience collecting patient intake data and completing patient registration.

Nice To Haves

Experience working in a dental office or healthcare front office.

Responsibilities

Greet patients, check them in and out, and manage daily appointment flow.
Answer phone calls, schedule appointments, route messages, and provide general information.
Collect and update patient demographics, medical history, and consent forms.
Explain treatment plans, financial policies, and payment expectations.
Process payments, co-pays, and balances, and post transactions accurately.
Maintain the cleanliness and organization of the front desk and reception areas.
Manage incoming and outgoing mail, faxes, and documents.
Verify dental insurance eligibility before appointments, including PPO, HMO, and Medicaid plans.
Determine covered benefits, annual maximums, frequencies, waiting periods, and limitations.
Confirm patient costs, including deductibles, co-insurance, and co-pays.
Obtain pre-authorizations and referrals when required.
Enter verified insurance information into the system accurately and clearly.
Communicate insurance findings to providers and help patients understand coverage.
Create, review, and submit dental claims accurately with appropriate CDT codes.
Attach required claim documentation such as X-rays, charting, and narratives.
Monitor outstanding claims and follow up on unpaid or denied claims.
Correct and resubmit denied claims as needed.
Post Explanation of Benefits (EOBs) and reconcile patient accounts.
Work with insurance companies to resolve discrepancies or claim issues.
Assist with billing reports, adjustments, and aging accounts.