Dental Claims Processing Specialist

Winning Assistants, Inc.; United States; Teletrabalho; USD 6900 - 8300; Tempo parcial

Vantagens oferecidas por esta oferta de emprego

HR Support

VPN Access

HIPAA Training

VA Training

US Holidays

PTO Options

Tools & Guides

Incentives

Resumo da oferta

Winning Assistants, Inc. is seeking a Dental Claims Processing Specialist for a part-time position. The role runs 12:00 PM to 4:00 PM Central Time, Monday through Friday, with a salary rate of $5–$6 per hour.

The specialist will independently manage end-to-end processing, verification, and submission of dental claims, ensuring accuracy and timely filing. The candidate will review claims for errors, investigate denials, and prepare corrections or appeals, while coordinating with the office

Qualificações

• 1+ year hands-on dental claims/billing experience.
• Strong knowledge of dental insurance processing and follow-up workflows.
• Ability to work independently with minimal supervision.

Responsabilidades

• Manage end-to-end processing, review, and submission of dental claims.
• Review claims for errors and document discrepancies before submission.
• Investigate denied or unpaid claims and prepare corrections or appeals.
• Submit supporting documentation and treatment narratives for approvals.
• Perform daily claim reconciliation and monitor submission outcomes.
• Follow up on outstanding claims to ensure timely processing and payment.
• Use dental portals and claim management systems to verify statuses.

Conhecimentos

Detail-oriented

Organizational skills

Problem-solving

English proficiency

End-to-end claims processing

Formação académica

Dental billing experience

Ferramentas

Open Dental

Descrição da oferta de emprego

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.

• 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.

Basic Requirements

• 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.

Technical Requirements

• Computer: Reliable laptop or desktop computer.
• Internet: Stable high-speed internet connection (minimum 25 Mbps).
• Audio: Noise-canceling headset.
• Video: Working webcam for virtual meetings.
• Workspace: Quiet and professional work environment.

• Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication.
• Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks.
• HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients.
• Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention.
• Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client's needs and schedule.
• Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client.
• Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best.
• Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.

These are optional resources and client-approved allowances available to you as an independent contractor. Any resources, training, or allowances listed are optional contractor perks and not employee benefits.