Dental Claims Processing Specialist
Posted 7 days ago
You'll complete your application on Winning Assistants LLC's career site.
About the Role
A remote Dental Claims Processing Specialist is needed to handle the full lifecycle of insurance claims, enabling dental offices to prioritize patient treatment. You will contribute to the financial stability and operational success of these practices as part of a provider of high-quality virtual staff. This position involves working autonomously while upholding high standards of administrative precision to help clinics manage complicated billing tasks, fix billing errors, and keep revenue cycles consistent.
Requirements
- You must have a minimum of one year of direct experience in dental billing, specifically with submitting claims and handling denials or appeals.
- An extensive grasp of dental insurance workflows is required, along with the ability to manage the complete claim cycle with little oversight.
- Experience with Open Dental software is highly preferred, alongside familiarity with electronic submission tools and insurance portals.
- You need strong English communication, analytical, and organizational skills.
- You are required to submit a clear police or NBI clearance, possess reliable high-speed internet, and work from a quiet, professional environment equipped with a webcam and noise-canceling headset for video calls.
Responsibilities
- You will independently oversee the full process of dental insurance claims, covering everything from preparation and evaluation to final submission.
- Your tasks include reviewing claims for inaccuracies or incomplete paperwork, researching rejected or denied claims to file successful appeals, and tracking their status until resolved.
- You will perform regular claim reconciliations, track pending items, and reach out to insurance carriers to gain clarification.
- You are responsible for keeping accurate data in the practice management software and working with office managers to resolve difficult insurance issues.
- You should also identify patterns in billing challenges and recommend operational changes to boost clinic efficiency.
Benefits & Perks
- You will have access to a support team and HR department, plus professional training in cybersecurity and HIPAA compliance.
- Team members are provided with performance-focused training and a suite of professional resources.
- Paid or unpaid leave is available when approved by the client, and U.S. holidays recognized by the client are observed.
- Contractors may also take advantage of discretionary performance bonuses, optional premium VPN services, and client-sanctioned stipends.
Note: This listing is summarized and paraphrased by WorkNow from a publicly posted role. For the original wording and full details, please refer to the employer's official posting.
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