Dental Insurance Verification and Billing Specialist

The role

Neon Link places dental insurance verification and billing specialists with US dental offices and group practices. You'll verify eligibility for upcoming patients and enter the full breakdown in the practice software: deductibles, annual maximums, coverage levels, frequencies, waiting periods and procedure history, so the front desk can give each patient an honest estimate. You'll submit claims with the x-rays, perio charts and narratives each payer asks for, follow up on unpaid and denied claims, post insurance payments against the EOB, and send pre-authorizations and predeterminations for larger treatment. You'll also send patient balance statements, follow up on open balances and help the front desk with scheduling and confirmations, in systems such as Dentrix, Eaglesoft, Open Dental, Curve or Denticon, plus payer portals and a clearinghouse. It matters because a missed breakdown becomes a surprise bill for the patient, and a claim sent without the right attachment comes back unpaid and has to be worked twice. Every placement handles patient health information under HIPAA rules, so we look for people who are careful by habit, not only when someone is watching. People do well here when they read the fine print on a plan, stay patient on hold with a payer, and write notes the next person can trust. Day to day you'll work with the office manager or billing lead at one US client, as part of their team, with Neon Link behind you. In your cover note, name the dental software and payer portals you've used and how many verifications you handle in a typical day. The client meets you for a final interview before you start. Selected candidates are interviewed now and matched to a client engagement as it opens.

What you'll do

• Verify eligibility for every patient on the schedule ahead of the appointment, by payer portal or phone, and enter the full breakdown in the practice software: deductibles, annual maximums, coverage levels by procedure category, frequencies, waiting periods, missing tooth clauses and procedure history
• Flag problems before the visit, such as an inactive plan, a used-up maximum, a frequency limit or a plan that needs a predetermination, so the office can talk to the patient first
• Submit claims daily through the clearinghouse with the attachments each payer requires, such as x-rays, perio charts, photos and the provider's narrative, and clear rejections the same day
• Follow up on unpaid and denied claims by portal and phone, correct and resubmit what can be fixed, and prepare appeals from the provider's documentation
• Post insurance payments and EOBs, reconcile what the payer paid against what was expected, and flag underpayments, downgrades and adjustments for the office manager's review
• Send pre-authorizations and predeterminations for larger treatment, track each one to a decision, and record the payer's estimate where the office will see it
• Prepare patient balance statements and follow up on open balances by phone, email and text in the office's voice, using only the payment arrangements the office has approved
• Support the front desk with scheduling: confirm appointments, fill openings from the office's list, and keep patient contact and insurance details current
• Log every payer call with a reference number, name and date, and send the office manager a short weekly summary of claims outstanding, denials and what you need from the provider or front desk

What you bring

• 2 or more years in US dental insurance verification, dental billing or a dental front office that handled insurance
• Hands-on with at least one dental practice management system, such as Dentrix, Eaglesoft, Open Dental, Curve or Denticon
• Working knowledge of US dental plans and CDT codes: deductibles, annual maximums, frequencies, waiting periods, downgrades and secondary insurance, and what each one means for the patient's portion
• Comfortable in payer portals and on the phone with payer reps, with notes clear enough that the front desk can give a patient an estimate from them
• Careful with patient health information: you understand the HIPAA minimum necessary rule, you don't move charts, x-rays or patient lists onto personal devices, and you'll sign a confidentiality agreement and pass a background check
• Clear written and spoken English for payer calls, patient balance calls and notes in the patient record
• Able to work US business hours, a night shift that usually starts between 9pm and 1am Manila time depending on the client's time zone, and to hold that schedule long term
• A quiet, private workspace where patient information can't be seen or overheard, wired internet of at least 25 Mbps with a backup connection, a plan for power outages, a computer that runs the client's tools, and a noise canceling headset
• Education: any bachelor's degree preferred, not required; relevant experience matters more

You'll do well here if

Why Neon Link

At Neon Link, we take care of the people who do the work, and we build the structure good people deserve. We uphold our core values:

• DO THE WORKWe show up prepared and finish what we start.
• GET THE CREDITYour work is visible, and it is yours.
• SAY IT STRAIGHTClear updates, honest answers, no surprises.
• OWN ITWe fix problems before anyone has to ask.
• KEEP LEARNINGWe get a little better every week.