Insurance Plan Specialist

Dr Lane & Associates•Greenville, NC

About The Position

The Insurance Plan Specialist supports the Greenville CBO’s growth and service operations by safeguarding revenue, keeping insurance information accurate and current, reducing outstanding accounts receivable, and helping ensure seamless treatment planning. The role creates, maintains, and links insurance plans to the appropriate fee schedules. Initial training takes place in the Durham CBO office.

Requirements

  • One to two years of experience in a dental office or dental insurance billing environment.
  • Strong knowledge of dental insurance billing, accounts receivable, and fee schedules.
  • Detail-oriented with strong organizational, communication, and analytical skills.
  • Effective problem-solving skills, especially with denied claims.
  • Professional, team-oriented, and dependable.
  • Comfortable using computers and dental management software.
  • High school diploma or GED.
  • 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 plan exceptions, such as non-duplication provisions, waiting periods, and clauses.
  • Enter benefit details, including frequencies and age limitations.
  • Attach correct fee schedules and update patient profiles.
  • Monitor for and prevent duplicate insurance plans.
  • Support treatment-plan accuracy by keeping insurance data up to date.
  • Assist with additional administrative duties as needed.

Benefits

  • Competitive pay.
  • Comprehensive insurance coverage after 90 days, including health, vision, dental, life, disability, and FSA.
  • 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 Smile Squad, with prizes.
  • Team events, giveaways, and social campaigns.
  • Birthday and work anniversary surprises.
  • Employee discounts at major retailers.
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