Dental Claims Processing Specialist

• Independently manage end-to-end processing, preparation, review, and submission of dental insurance claims.
• Review claims for errors, missing information, and documentation discrepancies.
• Investigate denied, rejected, or unpaid claims and prepare corrections or appeals.
• Follow up on claims until resolution.
• Prepare and submit clinical documentation, claim attachments, treatment narratives, and other required information.
• Perform daily claim reconciliation and identify discrepancies requiring corrective action.
• Monitor outstanding and pending claims and conduct status follow-ups approximately every 30 days.
• Use insurance portals and electronic claim management systems to verify statuses and track submissions.
• Communicate with insurance representatives by phone when clarification or assistance is required.
• Maintain organized records of submissions, denials, appeals, follow-ups, and resolutions in the practice management system.
• Collaborate with the office manager on complex insurance concerns and claim discrepancies.
• Identify recurring claim issues and recommend workflow improvements.

• At latest 1 year of hands-on experience in dental insurance billing, claims processing, submissions, denials, and appeals is required.
• Strong knowledge of dental insurance procedures, claim reconciliation, and follow-up processes.
• Ability to independently manage end-to-end dental claims processing with minimal supervision.
• Excellent attention to detail, organizational skills, and problem-solving abilities.
• Strong written and verbal English communication skills.
• Experience using Open Dental practice management software is strongly preferred.
• Familiarity with dental insurance portals and electronic claims submission systems.
• Experience preparing dental claim attachments, supporting documentation, and treatment narratives.
• Must speak and write English clearly and professionally.
• Must have relevant work experience.
• Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory).
• Must be available to attend video meetings with camera on when required.
• Reliable laptop or desktop computer.
• Stable high-speed internet connection (minimum 25 Mbps).
• Noise-canceling headset.
• Working webcam for virtual meetings.
• Quiet and professional work environment.

• Dedicated HR & Contractor Support Team
• Premium VPN Access (Optional)
• HIPAA & Cybersecurity Training + Certification (Provided)
• Top 1% VA Performance Training
• Client-Approved U.S. Holidays
• Client-Approved Paid or Unpaid Time Off
• Access to Tools & Resources
• Optional Performance-Based Incentives
• Optional contractor perks and client-approved allowances