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Dental Eligibility and Benefits Verification Specialist

CF Outsourcing Solutions · Quezon City, Philippines

Operations ManagementQuick applyfull-time3 months ago

About The Role

Dental Eligibility and Benefits Verification Specialist

Position Summary

  • You will be responsible for verifying dental insurance benefits, preparing patient benefit reports, and
  • handling recall appointment scheduling. Full training is provided for our EMR system, but strong attention to
  • detail and excellent communication skills are required.

Key Responsibilities

Insurance Verification (Primary Task)

Verify patient dental insurance eligibility and benefits at least 3 days before appointments.

Gather details such as

  • Frequency limitations
  • Percentage coverage per procedure

Deductibles

  • Remaining annual benefits
  • Confirm coverage for common dental procedure codes (exams, cleanings, X-rays, fluoride,
  • sealants, debridement, etc.).
  • Compile findings into a PDF report for each patient.
  • Email completed reports to [email hidden — sign in] on time.

Recall Appointment Management

Call patients from our recall list to schedule overdue cleanings and maintenance visits.

Types of appointments include

  • Adult prophylaxis
  • Child prophylaxis
  • Periodontal maintenance
  • Use our EMR system to document communication and schedule appointments (training provided).

Qualifications

Proficient with Windows 11 Professional

  • Fluent and clear English communication
  • Strong organizational and follow-through skills
  • Ability to learn dental codes and terminology
  • Reliable internet connection and a quiet workspace
  • Dental experience is a plus, but not required

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