Dental Insurance Coordinator / A/R Representative

Aloha Pediatric Dentistry – Berkeley

Aloha Pediatric Dentistry is growing, and we are looking for an experienced, compassionate Dental Insurance Coordinator who will also serve as our Accounts Receivable Representative. This is a key role in our fee-for-service pediatric practice, where exceptional customer service and a strong sense of teamwork are essential.

About the Role

The Insurance Coordinator/A/R Representative ensures accurate and timely claim submission, follows up on aging A/R, resolves eligibility and claim issues, and helps parents understand their dental benefits with kindness and clarity. You will play an essential role in educating families about out-of-network fees, estimating out-of-pocket costs, and reviewing EOBs and predeterminations.

Key Responsibilities

• Submit electronic and paper dental claims with required attachments and narratives
  
  

• Monitor, track, and follow up on unpaid or rejected insurance claims
  
  

• Research and resolve eligibility issues, COB challenges, and claim denials
  
  

• Post insurance payments and patient payments accurately and timely
  
  

• Maintain A/R reports and ensure prompt resolution of outstanding balances
  
  

• Review predeterminations, explain coverage estimates clearly, and coordinate next steps with families
  
  

• Explain out-of-network fees, expected patient portions, and EOBs in a clear, supportive, and compassionate manner
  
  

• Provide excellent customer service while helping parents understand insurance limitations and benefits
  
  

• Document all communication and actions in the practice management system
  
  

• Collaborate with front office, assistants, and providers to support smooth office workflow
  
  

• Protect patient privacy through proper HIPAA compliance
  
  

What We’re Looking For

• 3+ years of experience in dental insurance billing, claims, and A/R (pediatric experience helpful but not required)
  
  

• Strong knowledge of CDT codes, dental claim processes, narratives, attachments, predeterminations, and common insurance platforms
  
  

• Clear understanding of out-of-network plans and how to communicate OON fees and EOB breakdowns to parents
  
  

• Experience with Dentrix Ascend or Curve Hero preferred
  
  

• Excellent verbal and written communication skills
  
  

• Warm, kind, and patient communication style—especially with parents navigating insurance questions
  
  

• High attention to detail, accuracy, and follow-through
  
  

• A positive, team-oriented attitude and dedication to community-centered care
  
  

• Professionalism, reliability, and a commitment to high-quality service in a fee-for-service environment
  
  

Why Join Us?

• Supportive, collaborative team environment
  
  

• A culture built on kindness, communication, and exceptional patient care
  
  

• Opportunities for continued training and growth
  
  

• Work with a respected, community-focused pediatric dental group
  
  

• Competitive pay and benefits package. 

Compensation: This role starts at $25.00 per hour, with the potential for a higher wage based on demonstrated experience and proficiency in dental billing and claims management.

How to Apply

Please send your résumé and a brief introduction to ryanne@alohakidsdds.com with the subject line: Insurance Coordinator Application – [Your Name].