Remote Dental Insurance & Claims Specialist

Overview

Optimum Dental Support Services is seeking a detail-oriented and experienced Dental Insurance & Claims Specialist to join our growing team. This fully remote position will begin at approximately 25-30 hours per week, with strong potential to transition into a full-time role within the next year. In this role, you will leverage your expertise in insurance verification, dental coding, and claims management to support multi-site dental practices and ensure accurate, efficient billing processes. The ideal candidate is focused, dedicated, and highly organized, with a strong attention to detail and a commitment to delivering exceptional service while helping practices navigate insurance processes and improve collections.

Responsibilities

• Verify dental insurance benefits accurately and thoroughly
• Ensure insurance plans are correctly built within practice management software
• Document detailed insurance breakdowns within each patient chart
• Submit prior authorizations to commercial insurance plans and Medicaid
• Maintain and manage the Prior Authorization tracking log
• Communicate approvals and denials to supported offices in a timely manner
• Submit dental insurance claims accurately and efficiently
• Identify and attach appropriate supporting documentation (e.g., radiographs, narratives, periodontal charting) when submitting claims to support claim adjudication and reduce denials
• Review Explanation of Benefits (EOBs) to identify underpayments or claim discrepancies and assist with appeals or corrections when necessary
• Assist with insurance credentialing and provider enrollment activities as needed
• Assist with follow-up and resolution of aging insurance claims
• Provide insurance and claims support for multi-site dental practices

Qualifications

• Minimum 2 years of dental insurance and claims experience required
• Strong understanding of traditional insurance and Medicaid processes
• Experience with prior authorizations and insurance verification
• Experience working aging insurance claims
• Curve Dental experience preferred but not required
• Highly organized with strong attention to detail
• Self-motivated and dedicated to working remotely
• Ability to manage workload independently and meet deadlines
• Proven clerical experience with strong organizational skills to manage multiple claims and documentation tasks simultaneously.
• Proficiency with Microsoft Excel, including the ability to track, organize, and manage insurance claims or prior authorization data
• Excellent communication skills for liaising with healthcare providers, insurance representatives, and patients when necessary.
• Ability to maintain HIPAA compliance and protect patient confidentiality, including working in a secure, private workspace with a password-protected network
• Ability to work consistent daytime hours (day shift) in a remote environment
• Ability to attend and participate in weekly team meetings with management
• Ability to maintain a quiet, professional, and distraction-free remote workspace during scheduled working hours
• Must successfully pass a background check as a condition of employment

Position Details

• Approximately 30 hours per week
• Fully remote position
• Opportunity to transition to full-time within 12 months based on performance and business growth
• Compensation based on experience

Confidentiality & Compliance This position involves access to protected health information (PHI). All team members are expected to strictly adhere to HIPAA regulations and company privacy policies while maintaining a secure remote work environment that protects patient and practice data.

What We're Looking For

We are seeking someone who takes pride in accuracy, understands the impact insurance workflows have on revenue cycle performance, and can help keep prior authorizations and claims organized and moving efficiently. If you meet the qualifications and are ready to grow with a supportive and collaborative team, we encourage you to apply. Join us in delivering exceptional support to dental practices and helping improve the financial health of the offices we serve. Pay: From $18.00 per hour Expected hours: 25.0 – 30.0 per week Benefits:

• Work from home

Experience:

• Dental Billing: 1 year (Required)

Location:

• Oklahoma (Required)

Shift availability:

• Day Shift (Required)

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