We are looking for a detail-oriented and proactive Dental Insurance Verification Specialist to support a U.S.-based dental practice. In this role, you will help verify patients’ dental insurance eligibility, benefits, and coverage limitations before their appointments. Your work will help the dental team prepare accurate treatment estimates, communicate coverage information, and ensure patient records are complete.

Key Responsibilities

Dental Insurance Verification

- Verify dental insurance eligibility and active coverage for new and existing patients.
- Review annual maximums, deductibles, remaining benefits, and benefit usage.
- Confirm coverage percentages for preventive, basic, and major dental procedures.
- Check frequency limitations for cleanings, examinations, X-rays, fluoride treatments, and periodontal maintenance.
- Review waiting periods, plan exclusions, missing-tooth clauses, and other coverage restrictions.
- Verify benefits for procedures such as crowns, bridges, dentures, implants, root canals, and periodontal treatments, as applicable.
- Contact insurance companies and use online portals to clarify coverage details when needed.
- Identify and escalate unclear or conflicting insurance information.

Communication and Team Support

- Communicate verified benefits and coverage limitations to the front desk and treatment coordinators.
- Flag inactive policies, significant restrictions, and unresolved verification issues promptly.
- Follow up on outstanding verifications without waiting for repeated reminders.




- Communicate professionally with insurance representatives and team members.
- Ask questions when necessary and take initiative to find answers using approved resources and procedures.

Required Qualifications

- Previous experience working in a dental office or providing administrative support to a dental practice.
- Hands-on experience with dental insurance eligibility checks or benefits verification.
- Basic understanding of dental insurance terminology, deductibles, annual maximums, coverage percentages, and frequency limitations.
- Strong written and spoken English communication skills.
- Good attention to detail and organizational skills.
- A proactive attitude, willingness to learn, and ability to follow through on assigned tasks.
- Ability to work remotely during the dental practice’s U.S. business hours.
- Reliable internet access and a suitable remote working environment.

Preferred Qualifications

- Experience supporting a U.S.-based dental practice.
- Familiarity with dental insurance portals and calling insurance carriers.
- Experience using Dentrix, Open Dental, Eaglesoft, or similar dental practice management software.
- Exposure to PPO and HMO dental plans, coordination of benefits, and common coverage exclusions

What This Role Does Not Include This position focuses specifically on insurance eligibility, benefits verification, and documentation. It does not include submitting or appealing claims, posting insurance payments, managing accounts receivable, or handling insurance collections.

📌 Dental Insurance Verification Specialist (Argentina)
🏢 Simpalm Staffing
📍 Argentina