Dental Claims Processor

Oklahoma City Indian Clinic; Oklahoma City (OK); On-site; USD 42,000 - 60,000; Full time

Job summary

Oklahoma City Indian Clinic in Oklahoma City is seeking a Dental Claims Processor to handle the submission and follow-up of HIPAA-compliant dental claim batches for Medicare, Medicaid, and private insurers. The role requires accurate coding (ICD-10, CPT, CDT) and proficiency with Dentrix and EDS to ensure timely filing and problem resolution.

The position supports a non-profit healthcare mission serving American Indian communities and emphasizes accuracy, HIPAA compliance, and collaboration with

Qualifications

• Requires knowledge of Medicare, Medicaid, and commercial dental plans.
• Familiar with ICD-10, CPT, and CDT dental codes.
• Experience using claims clearinghouse software and EDS.

Responsibilities

• Submit HIPAA-compliant claim batches to Medicare, Medicaid, and commercial insurers.
• Follow up on invalid claims and correct errors using EDS reports.
• Create and process claims in Dentrix and EDS.
• Ensure timely filing of dental claims.
• Investigate questionable claims with certified coders.
• Answer claims-related questions from providers and staff.
• Review claims for complete and accurate information.
• Participate in required training and departmental activities to meet goals.

Skills

Medicare & Medicaid billing

Dental insurance knowledge

ICD-10, CPT, CDT coding

EDS software

Claims processing

Education

High school diploma or GED

Tools

Dentrix

EDS

Job description

Job Details

Job Location: 4913 - Oklahoma City, OK 73127
Position Type: Full Time
Travel Percentage: None
Job Shift: Day

About Oklahoma City Indian Clinic (OKCIC)

Oklahoma City Indian Clinic (OKCIC) is a non-profit corporation that provides culturally sensitive health care to the American Indian population. OKCIC services include not only basic medical care but also dental, optometry, behavioral health, fitness, nutrition, and other family programs.

Our mission is to provide excellent healthcare to American Indians. We do this by putting people first, providing quality services, and maintaining our Integrity and Professionalism.

We are looking to add compassionate team players to our growing team as we continue to work toward our goal of becoming the national model for American Indian Health Care.

Oklahoma City Indian Clinic is hiring a Dental Claims Processor for our Dental team! This position will process and submit dental claims for adjudication and payment, ensuring claims are accurate, complete, and submitted within required timely filing deadlines. The Dental Claims Processor will submit HIPAA-compliant claim batches to Medicare, Medicaid, and commercial insurers, create and process claims in Dentrix and EDS, and follow up on invalid claims. This position will investigate questionable claims and services with certified coders, make necessary corrections to claims, and answer claims-related questions as needed.

Applicants claiming Indian Preference must complete the full application and must provide documentation verifying eligibility (such as a tribal enrollment card or Certificate of Degree of Indian Blood (CDIB)).

Job duties

• Submit HIPAA-compliant claim batches to Medicare, Medicaid, and commercial insurers.
• Follow up on invalid claims in EDS and utilize the invalid claims report to make necessary corrections.
• Create and process claims in Dentrix and EDS.
• Create claims to meet timely filing requirements.
• Submit and follow up on HIPAA-compliant claims.
• Investigate questionable claims and services in collaboration with certified coders.
• Answer phone calls regarding claims questions as needed.
• Thoroughly review claims to ensure there is no missing or incomplete information.
• Participate in required training and educational activities necessary to fulfill departmental goals.
• Research training opportunities related to the dental billing office to remain current on billing practices and coding changes and submit training recommendations to the Dental Director for approval.

The Oklahoma City Indian Clinic is a non-profit organization and not a federal employer. Indian preference hiring laws apply. The Clinic is a 501(c)(3) non-profit corporation and an Equal Employment Opportunity (EEO) employer. The Clinic adheres to all applicable laws prohibiting discrimination in employment, including protections based on race, color, sex, national origin, age, disability, religion, veteran status, and other characteristics as required by federal, state, or local law.

Qualifications

• Must align with OKCIC vision, mission, and core values.
• High school diploma or GED
Two (2) years of experience in dental billing.
• Knowledge of Medicare, Medicaid, and commercial dental insurance plans.
• Knowledge of ICD-10, CPT, and CDT codes.
• Ability to use claims clearinghouse software and EDS.