Dental Customer Service Representative

Moda Health; Portland (OR); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company in healthcare is seeking a Dental Customer Service Representative to provide excellent service to members regarding benefits and claims. This full-time remote position offers a supportive environment, with a focus on communication and problem-solving skills. The role includes handling inbound calls, calculating benefit amounts, and ensuring compliance with HIPAA guidelines, making it essential for candidates to be organized and efficient in a fast-paced environment.

Benefits

Medical, Dental, Vision, Pharmacy, Life, & Disability

401K with Matching

FSA

Employee Assistance Program

PTO and Paid Holidays

Qualifications

• Customer service or related experience required.
• Familiarity with medical or dental terminology preferred.
• Typing speed of at least 25 WPM.

Responsibilities

• Handle high volume inbound calls regarding dental claims and benefits.
• Calculate benefit and premium amounts.
• Document calls clearly while following HIPAA guidelines.

Skills

Communication skills

Analytical skills

Problem-solving skills

Decision-making skills

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

Join to apply for the Dental Customer Service Representative role at Moda Health.

About Moda
Founded in Oregon in 1955, Moda is committed to quality and building a better future for healthcare. We focus on providing outstanding coverage, compassionate support, and comprehensive benefits to our members, community, and employees. We value diversity and inclusion and invite applications from candidates who share our commitment.

Job Summary
This full-time, remote position provides customer service to members of multiple benefit plans by analyzing caller needs and providing timely, accurate responses. Handle calls regarding benefits, eligibility, claims, premiums, and other issues from policyholders, agents, members, providers, and others.

Pay Range
$19.00 - $20.00 per hour, DOE. Actual pay depends on qualifications.

Start Date
July 28, 2025.

Application
Please fill out an application on our company page: Apply here.

Benefits

• Medical, Dental, Vision, Pharmacy, Life, & Disability
• 401K with Matching
• FSA
• Employee Assistance Program
• PTO and Paid Holidays

Schedule

• Monday - Friday
• Minimum 7.5 hours per day, 37.5 hours per week

Requirements

• High school diploma or equivalent
• Medical or dental terminology knowledge preferred but not required
• Diagnosis and procedure coding knowledge preferred but not required
• Customer service or related experience
• Strong communication skills, professional and courteous interaction
• Analytical, problem-solving, decision-making skills
• Typing speed of at least 25 WPM
• High-speed internet (cable or fiber)
• Proficiency with Microsoft Office
• Ability to work independently, maintain confidentiality, and handle fast-paced environment

Primary Functions

• Handle high volume inbound calls regarding dental claims, benefits, premiums, and eligibility
• Provide accurate information professionally
• Calculate benefit and premium amounts
• Follow HIPAA guidelines and document calls clearly
• Stay updated on benefit information and system procedures
• Gather banking details for premium collection
• Identify claim adjustments, resolve complaints, and coordinate with providers or agencies as needed
• Follow up promptly and meet service levels

Moda Health is an equal opportunity employer. For accommodation inquiries, contact Kristy Nehler & Danielle Baker at [e-mail].