Dental Insurance Claims Agent

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TYPE OF WORK

Any

SALARY

40000

HOURS PER WEEK

40

DATE UPDATED

Sep 9, 2026

JOB OVERVIEW

***You must be comfortable with monthly payments for compensation.***
PLEASE DONT APPLY IF YOU ARE NOT OKAY WITH MONTHLY PAYMENT OR ONCE A MONTH PAYMENT.

-----PLEASE SEND YOUR RESUME AND VOICE RECORDING STATING YOUR RELEVANT EXPERIENCES TO THE ROLE.-----

Position Overview
We are seeking a detail-oriented and experienced Dental Insurance Claims Agent to manage the processing, submission, follow-up, and resolution of dental insurance claims. The ideal candidate has a strong understanding of dental insurance plans, claims procedures, eligibility verification, and insurance portals.

This role requires excellent attention to detail, strong communication skills, and the ability to independently manage multiple claims while ensuring timely reimbursement and accurate documentation.

### Key Responsibilities
* Prepare, review, and submit **dental insurance claims** accurately and in a timely manner.
* Verify patient insurance eligibility, benefits, coverage, deductibles, copays, and limitations.
* Review claims for accuracy before submission, including **CDT codes, procedure codes, patient information, provider information, and supporting documentation**.
* Monitor submitted claims and follow up on pending, rejected, or denied claims.
* Investigate claim denials and determine the appropriate steps for correction, resubmission, or appeal.
* Communicate with dental insurance companies regarding claim status, benefits, payment discrepancies, and coverage questions.
* Work with dental offices and internal teams to obtain missing information or documentation required for claims processing.
* Post and reconcile insurance payments, adjustments, and outstanding balances as needed.
* Identify recurring claim issues and recommend ways to improve the claims process.
* Maintain accurate and organized records of claims, correspondence, payments, and follow-ups.
* Follow up on outstanding accounts and unpaid claims to help maximize insurance collections.
* Protect patient information and maintain strict confidentiality in accordance with applicable privacy requirements.
* Meet established productivity, accuracy, and turnaround-time targets.

### Required Qualifications
* **2+ years of experience** in dental insurance claims, dental billing, dental accounts receivable, or a related role.
* Strong knowledge of **dental insurance plans, claims processing, eligibility, benefits, and denials**.
* Familiarity with **CDT codes and dental procedures**.
* Experience submitting and tracking claims through dental insurance portals or electronic claims systems.
* Experience handling **claim denials, rejected claims, and appeals**.
* Strong attention to detail and accuracy.
* Excellent written and verbal communication skills.
* Strong organizational and time-management skills.
* Ability to work independently with minimal supervision.
* Comfortable handling confidential patient and insurance information.
* Proficient with computers, email, spreadsheets, and insurance/dental practice management systems.

### Preferred Qualifications

* Experience working with **U.S. dental insurance companies and patients**.
* Experience with dental practice management software such as **Dentrix, Eaglesoft, Open Dental, Curve Dental, or similar platforms**.
* Familiarity with major dental insurance providers and payer portals.
* Experience with **insurance aging reports and dental accounts receivable (AR)**.
* Previous experience working remotely with a dental practice or healthcare organization.
* Knowledge of HIPAA and U.S. healthcare privacy requirements.

### Skills & Competencies
* Dental Insurance & Claims Processing
* Dental Billing & Accounts Receivable
* Insurance Eligibility & Benefits Verification
* Claims Follow-Up
* Denial Management & Appeals
* CDT Coding Knowledge
* Insurance Portal Management
* Payment Posting & Reconciliation
* Data Entry & Documentation
* Problem Solving
* Attention to Detail
* Communication & Customer Service
* Time Management
* Remote Work & Self-Management

### Work Environment

* Remote, full-time position
* Requires reliable internet and a suitable work-from-home setup
* Must be comfortable working with U.S. dental insurance companies and following U.S. business hours, as required
* Fast-paced environment requiring accuracy, accountability, and consistent follow-through

### What We’re Looking For
The ideal candidate is someone who can **take ownership of the dental claims process from submission through payment**, proactively follow up on outstanding claims, resolve denials, and ensure that claims are processed accurately and efficiently. Strong candidates will be detail-oriented, organized, persistent, and comfortable communicating with insurance providers and dental teams.

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