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No one likes to go to the dentist, but
when they do, they don’t want to pay for it.
Those costs for a root canal can be
staggering and many people simply cannot
afford it. When someone visits the dentist,
the dental office will file a claim with the
person’s insurance carrier. Depending on the
benefits of the patient’s policy, they may
or not pay the costs. When they decide to
file claims, that is where you come in as a
dental claims processor.
The Concept
As a dental claims processor, you will go
through the proper channels in an effort to
prepare and file claims for the dental
office. If the claim is not accepted, then
it is up to you to find out why. You are the
middleman between the client and the
insurance company. You will need to have a
good understanding of the insurance industry
and you will need to be familiar with the
dental industry. Having contacts with dental
professionals in your area will go a long
way in making your business a success.
Having an understanding of the dental
industry will also allow you to turn the
medical jargon into layman’s terms for your
clients, the patients, who may not
understand. You will need to have excellent
communication skills and a good listening
ability. Claims have been declined because
of miscommunication, and nothing can hurt
your business more than that.
Startup Costs
You will need to have an extensive database
of insurance companies that offer dental
insurance. You will need to have manuals, a
computer for keeping track, printer,
scanner, fax machine and a copier to make
your home office look professional.
You should also think about courses in
medical claims processing since this will
give you a leg-up on the competition and
help you get more clients. Remember, dental
offices will go with someone they think is
the most qualified. All in all, expect your
startup costs to be more than $5,000. From a
home business standpoint, that is not too
bad at all.
How to Market It
You need to advertise your business in
medical journals and newsletters. Your
clients are dental offices and you have to
focus on them in the areas they look. If you
can, get some brochures made up and send
them out to local dental offices. Having a
website that gives information about the
company, what you do and more can also help
you garner some more clients in this highly
competitive field. You should also go into
dental offices in your area and tell them
about your services. You never know, they
may be looking for someone to handle their
dental claims at that moment.
As a dental claims processor, it is going to
be your job to get to know all the dental
professionals around you, so you need to be
a communicative person. Let dental office’s
know you are out there and don’t be afraid
to approach dental offices to get the
business you need.
