Dental Insurance Processor

Are you ready for your next career adventure? We are seeking a dynamic individual who loves to make an impact to join CHOICE Healthcare Services, where our mission is to provide everyone access to the healthcare they need. CHOICE is the largest provider of pediatric dental care in the Southwest United States, and we pride ourselves on delivering high quality care to children in our communities.

Since 2020, we have doubled our pediatric dentistry footprint in California and recently expanded into several other states. Our future plans include continued growth, and it is an exciting time to join our team!

What we provide to you as a CHOICE teammate

• Care for your wellbeing and work-life balance
• Career development
• Professional and personal growth
• Experienced leadership support
• Fun and supportive team dynamic with events and celebrations
• Excellent compensation and comprehensive benefit package
  
  
  

This position is located on-site full time.

Summary The Insurance Processor Submit Pre-Authorizations, responsible for ensuring accurate and timely billing of dental insurance and denti-cal accounts, accuracy of account balances and coordinating EOBs with other billing team members to ensure billing accuracy.

Pay $23.00 to $27.00 per hour - depending on experience

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Ensure daily billing and adjustments are accurate and timely
• Ability to read insurance benefits and explanation of benefits (EOB)
• Process pre-authorizations with HMO insurances & Denti-Cal
• Review outstanding claims, follow up on aging for both patient and insurance balances
• Send statements with outstanding balances to patient
• Assists front office staff at practices with insurance and account questions as needed
• Verify insurance eligibility and benefits for patients
• Cross trained in other aspects of the department as assigned
• Ability to work in fast paced environment
• Willingness to cover other duties as assigned
• Regular, predictable attendance is required
• Ability to get along and work effectively with others
  
  
  

Education/Experience

• High school diploma or equivalent
• Strong dental background with billing experience (Denti-Cal billing experience strongly preferred)
• Familiarity with Cloud9, Excel, and Microsoft Office is a plus
• Self-starter with the ability to complete tasks in a timely manner
• Strong communication skills, as this role will support all CA practices remotely
• Productivity will be tracked regularly
• Bilingual in Spanish, preferred