DENTAL ELIGIBILITY & BENEFITS VERIFICATION SPECIALIST | PERMANENT REMOTE JOB

Are you a detail-oriented dental insurance pro who loves solving puzzles and helping patients get the care they need? We’re looking for a Dental Eligibility & Benefits Verification Specialist to join our fast-growing team. You’ll play a crucial role in verifying insurance coverage for U.S. dental practices—reducing claim denials, streamlining billing, and ensuring patients get the care they deserve. Your expertise will make a direct impact every day!

What you'll do?

  • Verify patient eligibility and active dental coverage before appointments
  • Review benefits including deductibles, annual maximums, and frequency limits
  • Confirm PPO/network status and navigate complex plan details
  • Document verification accurately in PMS (Dentrix, Eaglesoft, Open Dental, etc.)
  • Communicate insights to dental office and billing teams
  • Use insurance portals and connect directly with payers

What We’re Looking For?

  • 2+ years of experience in U.S. dental insurance verification
  • Strong knowledge of PPOs, waiting periods, and annual maximums
  • Familiarity with CDT codes and dental PMS software
  • Experience with major insurers like Delta Dental, Cigna, Aetna, and MetLife
  • Excellent documentation skills and strong HIPAA compliance knowledge
  • Willing to work night shifts (U.S. business hours)
  • Must be able to start immediately

Extra Points For

  • Experience reducing claim denials
  • Understanding of Coordination of Benefits (COB) and claims processes

Why Cliniqon?

  • Permanent work-from-home
  • Retention bonus
  • Performance bonus
  • Immense growth opportunities
  • Company-provided assets
  • HMO coverage
  • Many more benefits

If you’re organized, proactive, and passionate about making insurance simple for patients and dental teams, this is your chance to shine!

Send you resume to aalvior@cliniqon.com

Job Type: Full-time

Benefits:

  • Health insurance
  • Life insurance
  • Opportunities for promotion
  • Paid training
  • Pay raise
  • Work from home

Application Question(s):

  • o you have 2 or more years of experience verifying U.S. dental insurance coverage?
  • Are you familiar with PPO plans, waiting periods, and annual maximums?
  • Do you have experience using dental PMS software such as Dentrix, Eaglesoft, or Open Dental?
  • Have you previously worked with major dental insurers like Delta Dental, Cigna, Aetna, or MetLife?
  • re you able to work remotely during U.S. time zones with a reliable internet connection and secure workspace?

Work Location: Remote

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