Claims Specialist

Globaltize; United States; Remote; USD 42,000 - 62,000; Full time

Job summary

Globaltize, a U.S.-based dental support organization, is seeking a Claims Specialist with hands-on dental insurance experience to manage claim submissions, resolve payment discrepancies, and follow up directly with insurance providers.

You will submit and monitor claims, prepare corrected claims and appeals, and maintain meticulous documentation while coordinating with providers to ensure timely reimbursements.

Qualifications

• Hands-on experience with insurance claims and payment processing in dental settings.
• Knowledge of claim submissions, denials, appeals, and corrected claims.
• Experience communicating directly with insurance providers.
• Strong organization and attention to detail.
• Strong professional English communication skills.

Responsibilities

• Submit, monitor, and follow up on dental insurance claims.
• Prepare corrected claims and appeals for denied or underpaid claims.
• Contact insurance providers to resolve claim and payment issues.
• Research and resolve billing and reimbursement discrepancies.
• Track outstanding claims and follow up through resolution.
• Maintain accurate documentation of claim activity and communications.
• Manage daily priorities independently and provide progress updates.

Skills

Insurance claims

Payment processing

Attention to detail

English communication

Problem solving

Tools

Dentrix

Open Dental

Eaglesoft

Job description

Our client is a U.S.-based dental support organization helping dental practices manage insurance claims, billing operations, and reimbursement workflows.

They are looking for a Claims Specialist with hands-on dental insurance experience to manage claim submissions, resolve payment discrepancies, and follow up directly with insurance providers.

Key Responsibilities

• Submit, monitor, and follow up on dental insurance claims.
• Prepare corrected claims and appeals for denied or underpaid claims.
• Contact insurance providers to resolve claim and payment issues.
• Research and resolve billing and reimbursement discrepancies.
• Track outstanding claims and follow up through resolution.
• Maintain accurate documentation of claim activity and communications.
• Manage daily priorities independently and provide progress updates.

Success in this Role

Keep claims moving, resolve payment issues efficiently, and ensure accurate and timely insurance reimbursements.

Requirements

• Hands-on experience with insurance claims and payment processing, ideally within dental.
• Strong knowledge of claim submissions, denials, appeals, and corrected claims.
• Experience communicating directly with insurance providers.
• Strong critical thinking and problem-solving skills.
• Excellent organization and attention to detail.
• Strong professional English communication skills.

What We're Looking For (Mindset)

Detail-oriented, persistent, and accountable. You investigate issues thoroughly, follow up until they’re resolved, and manage your workload independently.

Nice to Have

• Direct dental insurance and billing experience.
• Experience with Dentrix, Open Dental, Eaglesoft, or similar dental software.
• Previous remote billing, claims, or revenue cycle experience.

Why Join

Take ownership of a critical claims workflow while supporting the financial operations of a growing dental organization.