Dental Claims Processing Specialist

Job Title: Dental Claims Processing Specialist

Position type: Part-Time

Working Hours: 12:00 PM – 4:00 PM Central Daylight Time Monday - Friday Salary rate: $5-$6

Key Responsibilities:

Independently manage the end-to-end processing, preparation, review, and submission of dental insurance claims, ensuring accuracy, completeness, and timely filing.

Review dental claims for errors, missing information, and documentation discrepancies before submission to minimize rejections and processing delays.

Investigate denied, rejected, or unpaid insurance claims, identify underlying issues, prepare necessary corrections or appeals, and follow up until resolution.

Prepare and submit supporting clinical documentation, claim attachments, treatment narratives, and other insurance-required information to facilitate claim approvals.

Perform daily claim reconciliation to verify submission accuracy, monitor processing outcomes, and identify discrepancies requiring corrective action.

Monitor outstanding and pending insurance claims, conducting routine status follow-ups approximately every 30 days to ensure timely processing and payment.

Utilize insurance portals and electronic claim management systems to verify claim statuses, track submissions, and address outstanding insurance matters.

Communicate with insurance representatives through occasional phone calls when additional clarification, documentation, or assistance is required.

Maintain accurate and organized records of claim submissions, denials, appeals, follow-ups, and resolutions within the practice management system.

Collaborate closely with the office manager to address complex insurance concerns, resolve claim discrepancies, and coordinate appropriate solutions.

Identify recurring claim issues and recommend improvements to enhance billing accuracy, minimize denials, and maintain efficient claims processing workflows.

Requirements

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.