Dental Claims Specialist: Coordination & Compliance

Astiva Health, Inc; Orange (CA); On-site; USD 50,000 - 70,000; Full time

Job summary

A premier healthcare provider is seeking a full-time staff member for its Claims Department dedicated to dental affairs. The role involves processing dental claims, educating providers on the online portal, and ensuring timely adjudication. Ideal candidates should possess a college degree and familiarity with CDT codes, along with strong organizational and communication skills. Experience with payer portals and managed care is preferred. This position is essential for improving compliance and provider experience in dental services.

Qualifications

• Familiarity with CDT codes and dental documentation requirements.
• Experience with dental prior authorizations is preferred.
• Medicare Advantage or managed care experience is a plus.

Responsibilities

• Process and review dental paper claims for completeness and accuracy.
• Request missing documentation to ensure timely claims adjudication.
• Assist providers in submitting clean claims.

Skills

Strong organizational skills

Communication skills

Follow-up skills

Detail-oriented

Education

4 year college degree or equivalent

Tools

Payer portals

Dental practice management systems

Job description

A premier healthcare provider is seeking a full-time staff member for its Claims Department dedicated to dental affairs. The role involves processing dental claims, educating providers on the online portal, and ensuring timely adjudication. Ideal candidates should possess a college degree and familiarity with CDT codes, along with strong organizational and communication skills. Experience with payer portals and managed care is preferred. This position is essential for improving compliance and provider experience in dental services.