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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.
Requirements
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.
Benefits
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.
