Insurance & Billing Coordinator
About the Role
Smile Avenue Family Dentistry is seeking an Insurance & Billing Coordinator to keep claims moving, accounts accurate, and patients clear on what they owe. In this role, you’ll collaborate with insurance companies, patients, and the front office team to support timely, correct billing for every visit.
Success looks like reducing claim delays, maintaining clean patient accounts through accurate posting and reconciliation, and communicating coverage and balances in a way that builds patient confidence.
Duties & Responsibilities
- Verify dental insurance eligibility and benefits before appointments.
- Prepare and submit accurate claims, including required attachments and supporting narratives.
- Post insurance and patient payments and reconcile Explanation of Benefits (EOBs).
- Follow up on unpaid, delayed, and denied claims until issues are resolved.
- Contact insurance companies to address claim issues, corrections, and appeals.
- Review patient accounts and send statements on schedule.
- Explain coverage, estimates, and balances to patients using clear, plain language.
- Set up payment plans and financing options when needed to support patient affordability.
- Maintain up-to-date insurance plan and fee information in the dental software.
- Monitor aging reports and help keep accounts receivable current.
- Protect patient privacy and follow HIPAA guidelines in all billing and claims processes.
- Support the front office team with additional tasks as needed.
Requirements
- High school diploma or equivalent.
- Dental insurance or medical billing experience preferred.
- Working knowledge of claims, EOBs, CDT codes, and coordination of benefits (a plus).
- Comfortable calling insurance companies and following up persistently.
- Comfortable discussing balances and collecting payments from patients.
- Strong attention to detail and accurate data entry.
- Basic computer skills; dental software experience is a plus.
- Clear written and verbal communication skills.
- Organized and able to manage multiple open items at once.
- Ability to work the days and hours listed, including any Saturdays.
- Team-oriented mindset with ownership and follow-through.
- Willingness to complete a background check.
Benefits
- Health insurance options (medical, dental, and vision, where available).
- Paid time off (PTO) including vacation and/or personal time.
- Paid holidays (where available).
- Professional development and training opportunities.
- Supportive team environment focused on patient care and clinical excellence.
