Insurance Plan Specialist

Dr Lane & Associates•Durham, NC

About The Position

The Insurance Plan Specialist supports the organization’s growth and service operations by safeguarding revenue, keeping insurance information accurate and current, and supporting seamless patient treatment planning. The role focuses on reducing outstanding accounts receivable and ensuring insurance plans are correctly created, maintained, and linked to appropriate fee schedules. The specialist reviews upcoming patient schedules, verifies insurance eligibility with providers by phone and web portals, and creates and maintains insurance plans in Denticon. This includes entering plan and benefit information, documenting exceptions, attaching fee schedules, updating patient profiles, and monitoring for duplicate plans. The position also supports treatment-plan accuracy and performs additional administrative duties as needed.

Requirements

1–2 years of experience in a dental office or dental insurance billing environment (required).
Solid knowledge of dental insurance billing, accounts receivable, and fee schedules.
Strong attention to detail and organizational, communication, and analytical skills.
Effective problem-solving skills, especially with denied claims.
Professional, team-oriented, and dependable.
Comfort with computers and dental management software.
High school diploma or GED required.
Ability to lift 15–20 pounds.

Responsibilities

Review practice schedules for upcoming patient appointments.
Contact insurance providers by phone and through web portals to verify coverage and eligibility.
Create and maintain insurance plans in Denticon, including entering group numbers, employer information, maximums, and deductibles.
Record insurance exceptions, such as non-duplication provisions, waiting periods, and clauses.
Enter benefit details, including frequencies and age limitations.
Attach the correct fee schedules and update patient profiles accordingly.
Monitor for and prevent duplicate insurance plans.
Support treatment-plan accuracy by maintaining updated insurance data.
Assist with additional administrative duties as needed.

Benefits

Competitive pay.
Comprehensive insurance coverage after 90 days, including health, vision, dental, life, disability, and FSA coverage.
401(k) Employer Contribution Plan after 90 days.
Quarterly performance bonus opportunities.
Employee Assistance Program.
Uniform allowance.
Paid time off and paid holidays.
Fridays off at 2 PM.
Volunteer opportunities with the Smile Squad, with prizes.
Team events, giveaways, and social campaigns throughout the year.
Birthday and work anniversary surprises from the owners.
Employee discounts at major retailers.