Insurance Coordinator

Smile Institute Miami – Miami, FL

Smile Institute Miami is seeking an experienced Dental Insurance Coordinator to join our growing dental practice.

We are looking for a knowledgeable, detail-oriented, and confident insurance professional who understands the complexities of dental insurance and can effectively manage insurance-related responsibilities from verification and benefits breakdowns through claims, EOBs, follow-up, and appeals.

The ideal candidate will have strong dental insurance knowledge, excellent communication skills, and experience working with both in-network and out-of-network insurance plans.

• Verify patient dental insurance eligibility and benefits
• Obtain and accurately document insurance benefit information
• Review deductibles, annual maximums, frequency limitations, waiting periods, exclusions, and coverage limitations
• Provide accurate insurance benefit breakdowns to patients and the dental team
• Explain dental insurance benefits and patient financial responsibility clearly and professionally
• Review treatment plans and determine expected insurance benefits
• Prepare and submit dental insurance claims accurately and promptly
• Monitor outstanding claims and follow up with insurance companies
• Review EOBs for accuracy and identify underpayments, denials, downgrades, and discrepancies
• Handle insurance claim corrections and resubmissions
• Prepare and submit insurance appeals and supporting documentation when appropriate
• Communicate with insurance companies regarding claim status, benefits, payments, and policy requirements
• Research denied and pending claims and determine the appropriate next steps
• Maintain organized insurance records and documentation
• Work closely with the treatment coordinator, front desk, doctors, and clinical team
• Assist with pre-treatment estimates and insurance predeterminations
• Stay current with insurance company policies, procedures, and dental coding requirements
• Assist patients with insurance-related questions and concerns
• Protect patient confidentiality and follow HIPAA requirements
• Help maximize legitimate insurance reimbursement while maintaining accurate billing practices
• Assist with accounts receivable and insurance follow-up as needed

• Previous dental insurance experience is required
• Strong understanding of dental insurance terminology and benefit structures
• Knowledge of dental procedures and CDT codes
• Experience with dental insurance claims and EOBs
• Experience handling insurance denials, downgrades, and appeals
• Knowledge of PPO and out-of-network dental insurance plans preferred
• Experience verifying eligibility and benefits
• Strong computer and data-entry skills
• Experience with dental practice management software preferred
• Excellent written and verbal communication skills
• Strong attention to detail and organizational skills
• Ability to multitask and meet deadlines
• Professional, dependable, and responsible
• Ability to communicate confidently with both patients and insurance representatives
• Strong problem-solving and follow-up skills

The ideal candidate is someone who knows dental insurance inside and out and is comfortable taking ownership of insurance accounts from beginning to end.

We are looking for a professional who can confidently identify insurance issues, research denials, follow up on unpaid claims, understand EOBs, and communicate clearly with patients and insurance companies.

Strong attention to detail, excellent follow-through, and a proactive attitude are essential.

• Professional and supportive work environment
• Team-oriented dental practice
• Competitive compensation based on experience
• Opportunity for professional growth
• Opportunity to become an important part of a growing dental team

Smile Institute Miami
9555 N. Kendall Drive, Suite 206
Miami, FL 33176