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PearlPearlUnited States

Insurance Verification Associate

Pearl is seeking a Part-Time Insurance Verification Associate with expertise in dental insurance plans and payer systems. This role involves auditing insurance verification workflows, documenting gaps, and collaborating with engineering, product, sales, and customer success to resolve issues and validate fixes.

Salary not listed
RemoteCustomer Support

About the role

The Role

We're seeking a Part-Time Insurance Verification Associate with deep expertise in dental insurance plans and payer systems. You'll serve as the subject matter expert who identifies gaps in how our platform handles insurance verification, documents those gaps clearly, and works cross-functionally with engineering, product, sales, and customer success to drive fixes and validate their accuracy. This is a high-impact, highly collaborative role — you won't just flag issues, you'll own them through to resolution.

What You'll Do

  • Audit Pearl's insurance verification workflows and data for accuracy and completeness across plan types (PPO, Individual, DHMO, Medicare, Medicaid, FEP/FEDVIP, MediCal, and others)
  • Document gaps clearly — including what's wrong, why it matters, and what the correct behavior should be — in formats that engineering and product can act on
  • Partner with engineering to drive resolution of identified gaps, providing context and clarification throughout the fix cycle
  • Validate that fixes are accurate once implemented, and flag regressions
  • Serve as the go-to resource for payer-specific login requirements, eligibility rules, and verification workflows for top dental payers
  • Support sales and customer success with accurate, up-to-date information on plan and payer coverage as needed

What You'll Need to Succeed

  • Deep, hands-on knowledge of dental insurance verification across PPO, Individual, DHMO, Medicare, Medicaid, FEDVIP, and MediCal plans, including login and portal requirements for major payers (Delta Dental, Cigna, Aetna, MetLife, United Concordia, Guardian, Humana, and others)
  • Prior experience with dental software platforms or DSOs, and familiarity with how verification is handled in practice management systems (e.g., Dentrix, Dentrix Ascend, Denticon, Eaglesoft, Open Dental)
  • Strong written and verbal communication skills — able to translate complex insurance rules into crisp, actionable documentation for both technical and non-technical audiences
  • Drives issues to closure by partnering closely with engineering and product, managing multiple concurrent workstreams independently in a fully remote, async-friendly environment
  • Comfortable working cross-functionally across product, engineering, sales, and customer success teams

Nice to Have

  • Prior experience writing documentation or requirements for technical teams

What We Offer

  • Remote work environment
  • Part-Time hourly contract (5-10 hours per week)

Skills

Dental Insurance VerificationPayer SystemsDentrixDentrix AscendDenticonEaglesoftOpen DentalDelta DentalCignaAetnaMetlifeUnited ConcordiaGuardianHumana
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