Dental Claims Team Lead — Operations & Reimbursement

Zohorecruit; Dallas (TX); On-site; USD 80,000 - 105,000; Full time

Job summary

Zohorecruit in Dallas is seeking a Claims Specialist Team Manager to lead the claims team, oversee performance, and ensure accurate, timely processing in line with payer and internal requirements.

You will manage workload distribution and quality across a portfolio of dental practices, serve as the main escalation point for complex or disputed claims, and collaborate with Revenue Cycle Management, credentialing, payer contracting, and field teams to optimize reimbursement.

Qualifications

• 3+ years in claims processing, medical/dental billing, or revenue cycle management.
• 3+ years of supervisory or team-lead experience.
• Strong knowledge of payer contracts, claims adjudication, and denial management.
• Proficiency with claims/practice-management systems such as Open Dental or Eaglesoft.
• Excellent written and verbal communication skills.
• Experience developing SOPs and payer correspondence.

Responsibilities

• Lead and supervise the Claims Specialist team, ensuring accurate, timely claims processing.
• Escalate complex/aged/disputed claims and partner with revenue cycle management, credentialing, and payer teams to resolve issues.

Skills

Claims processing

Supervisory experience

Payer contracts

Claims adjudication

Denial management

SOP development

Communication

Tools

Open Dental

Eaglesoft

ClickUp

Zoho Desk

Asana

Jira

Freshdesk

Job description

Zohorecruit in Dallas is seeking a Claims Specialist Team Manager to lead the claims team, oversee performance, and ensure accurate, timely processing in line with payer and internal requirements.

You will manage workload distribution and quality across a portfolio of dental practices, serve as the main escalation point for complex or disputed claims, and collaborate with Revenue Cycle Management, credentialing, payer contracting, and field teams to optimize reimbursement.