Insurance Claims Processor
Elite Dental Partners
Job Summary
To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential Job Responsibilities
- Review each claim for assigned offices for accuracy of provider of service, claim billing address, dental code utilized as reflected in clinical notes and proper patient information (name, dob, subscriber ID, etc)
- Identify procedures that need attachments (x-rays, periodontal charting and narratives). Make sure all required attachments are attached as required before claim is sent
- Ensure all claims are sent within 24 hours of service date
- Responsible for all claims for assigned offices to be resolved within 30 days
- Research, track and document in a clear and concise manner claim status and reasons for any delay in claim adjudication
- Analyze and interpret existing file notes and coverage documentation to competently respond to claim rejections or requests for additional information
- Handling of difficult or non-routine claims and adjustment projects by partnering with Office Managers and Support Center Staff
- Analysis, tracking and trending of claim issues and payor payment cycles to improve internal processes
- Perform other duties as assigned
Required Education and Experience
- High School Diploma
- At least 3 years dental claims experience
- 2-3 years previous leadership experience
Qualifications
- Knowledge of Dentrix Core and Ascend PMS systems
- Microsoft Excel Creation and basic functional working knowledge
- High attention to detail and accuracy
- Ability to meet set quota expectations
Physical Requirements
- Sitting and typing for long periods
The above statements are intended to provide a general overview and level of work being performed by most people assigned to this job. They are not intended to be a list of all responsibilities, duties and requirements. Additional duties can be assigned as determined.
Elite Dental Partners is an Equal Opportunity Employer. We support a diverse workforce.
We take great pride in helping our communities be healthier, feel better, and smile with confidence. Daily, we are driven by our vision to provide an elite patient experience tailored to their needs to receive the best care possible.
Not only do our team members find it rewarding to help patients be healthier, but they also enjoy being part of an organization that supports their growth. Our commitment to professional development and promoting internally when appropriate allows for tremendous career opportunities.
Clinical Enablement Manager - Doctor & Dental Assistant Programs
Elite Dental Partners
The Clinical Enablement Manager is the field engine that turns clinical programs into daily habits for doctors and dental assistants. This role delivers training, coaches chairside, and integrates new protocols, technologies, and service lines into office workflows across the network.
The Clinical Enablement Manager partners with the Senior Director of Learning and Development, Regional Dental Directors, regional Directors of Operations, Practice Managers, L&D, HR, Talent Acquisition, and Clinical Operations. Doctors and assistants are trained as a team, because case acceptance, efficiency, and patient experience depend on how the doctor-assistant pair works together.
Success is measured by sustained skill adoption, provider performance lift, faster time-to-competency for new team members, and consistent care across all practices — not by training volume.
Essential Job Responsibilities
1. Doctor Enablement & Skill Adoption
- Deliver in-office and virtual training on dentrix ascend pms, clinical protocols, treatment planning, and case presentation
- Coach doctors chairside on new procedures, technology, and service lines
- Reinforce adoption through huddles, peer learning, study clubs, and follow-up coaching
- Partner with Regional Dental Directors to drive behavior change and reduce variability in care
2. Dental Assistant Enablement & Skill Adoption
- Train assistants on chairside protocols, four-handed dentistry, sterilization and infection control, and room turnover
- Build assistant competency in technology (intraoral scanners, imaging, digital workflows) and new service lines
- Train assistants to support case acceptance: patient education, clinical notes, and scheduling handoffs
- Deliver expanded-function (EFDA) and career-pathway training where state regulations allow
3. Implementation of Clinical Initiatives
- Execute rollouts of new clinical programs as directed by leadership (e.g., clear aligners, implants, scanners, AI tools)
- Ensure each office rollout includes:
- Training
- Workflow integration
- Performance tracking
- Run pre-launch readiness checks and post-launch audits at 30, 60, and 90 days
- Document lessons learned and refine the rollout playbook between waves
4. Provider & Team Performance Support
- Use clinical analytics to identify skill gaps by doctor, assistant, and office
- Deliver targeted upskilling and remediation plans based on data
- Support onboarding and ramp-up of new doctors and assistants
- Track clinician KPIs and flag development or rehabilitation opportunities to leadership
5. Onboarding, Recruiting & Retention Support
- Deliver standardized clinical onboarding for new doctors and assistants
- Support Talent Acquisition at recruiting events, school visits, and working interviews
- Contribute to mentor programs and career pathways that retain high performers
6. Learning Delivery & Innovation
- Use modern methods: microlearning, simulation, scenario-based training, and LMS modules
- Gather feedback and evolve delivery to increase engagement and retention
- Create and Maintain training materials aligned with evidence-based standards and organizational protocols
7. Measurement & Continuous Improvement
- Track adoption, competency, and performance lift for every program delivered
- Report results to the Director and field leaders on a set cadence
- Use data to refine training content and implementation approaches
8. Cross-Functional Collaboration
Partner with:
- Clinical Operations and Compliance — protocols, quality standards, clinical workflows
- HR / L&D — onboarding, curriculum, leadership development
- Talent Acquisition — recruiting event support
- Operations — workflow integration, scheduling
- Finance — ROI validation
- Technology — tool adoption
Required Qualifications
- Bachelor's degree preferred; equivalent clinical and training experience considered
- Active or prior dental credential: RDA, EFDA, or RDH (state-dependent)
- 3–5+ years of experience in:
- Clinical dentistry (chairside assisting, hygiene, or general dentistry)
- Clinical training, education, or coaching
- Multi-site healthcare or DSO environment
Required Experience
- Proven success delivering clinical training that changed behavior — not just completion
- Experience implementing new clinical technologies or service lines (e.g., scanners, aligners, implants)
- Working knowledge of clinical KPIs: case acceptance, production per provider, treatment mix, re-treatment
- Experience coaching both doctors and clinical support teams
- Proficiency with practice management software and an LMS
Core Competencies
- Clinical credibility and influence with doctors and assistants
- Coaching and performance development
- Change management and adoption expertise
- Data-driven decision making
- Organized, self-directed field execution
- Strong communication and presentation skills
Physical Requirements
- Ability to travel up to 40% to supported practices, including overnight stays
- Ability to sit or stand for extended periods during training sessions
- Ability to observe and assess clinical procedures in operatory environments
- Occasional lifting of training materials or equipment (up to 25 lbs)
Success Profile
A successful candidate in this role will:
- Translate education into measurable clinical and financial outcomes
- Make great dentistry repeatable by strengthening the doctor-assistant team, not just the individual
- Build trust in the operatory and earn credibility with doctors and assistants alike
- Create a culture of continuous improvement, support, curiosity, and clinical excellence
The above statements are intended to provide a general overview of the level of work being performed by most people assigned to this job. They are not intended to be a list of all responsibilities, duties and requirements. Additional duties can be assigned as determined.
Elite Dental Partners is an Equal Opportunity Employer. We support a diverse workforce.
We take great pride in helping our communities be healthier, feel better, and smile with confidence. Daily, we are driven by our vision to provide an elite patient experience tailored to their needs to receive the best care possible.
Not only do our team members find it rewarding to help patients be healthier, but they also enjoy being part of an organization that supports their growth. Our commitment to professional development and promoting internally when appropriate allows for tremendous career opportunities.
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