Dental Claims Processing Specialist

Winning Assistants LLC

. Independently manage end-to-end processing, preparation, review, and submission of dental insurance claims.

Posted 10/21/2026part-timeRemote • PhilippinesJunior💰 $5,200 - $6,240 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in dental insurance claims processing, including submission, reconciliation, and appeals, while maintaining organized records and effective communication with insurance representatives. Proficient in using practice management software and electronic claims systems to ensure accurate and timely claim resolutions.

Highest-signal resume keywords

Dental Insurance BillingClaims ProcessingClaim ReconciliationOpen Dental SoftwareAttention To Detail

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims SubmissionDenial ManagementDocumentation PreparationTreatment NarrativesError Review

Soft Skills

Organizational SkillsProblem-Solving AbilitiesWritten CommunicationVerbal Communication

Tools & Technologies

Electronic Claims Submission SystemsInsurance PortalsPractice Management System

Certifications & Qualifications

NBI ClearanceLocal Police Clearance

Industry Keywords

Dental Insurance ProceduresClaims Follow-UpClaim AttachmentsWorkflow Improvements

About the role

Key responsibilities & impact

Independently manage end-to-end processing, preparation, review, and submission of dental insurance claims.
Review claims for errors, missing information, and documentation discrepancies.
Investigate denied, rejected, or unpaid claims and prepare corrections or appeals.
Follow up on claims until resolution.
Prepare and submit clinical documentation, claim attachments, treatment narratives, and other required information.
Perform daily claim reconciliation and identify discrepancies requiring corrective action.
Monitor outstanding and pending claims and conduct status follow-ups approximately every 30 days.
Use insurance portals and electronic claim management systems to verify statuses and track submissions.
Communicate with insurance representatives by phone when clarification or assistance is required.
Maintain organized records of submissions, denials, appeals, follow-ups, and resolutions in the practice management system.
Collaborate with the office manager on complex insurance concerns and claim discrepancies.
Identify recurring claim issues and recommend workflow improvements.

Requirements

What you’ll need

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.
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.
Reliable laptop or desktop computer.
Stable high-speed internet connection (minimum 25 Mbps).
Noise-canceling headset.
Working webcam for virtual meetings.
Quiet and professional work environment.

Benefits

Comp & perks

Dedicated HR & Contractor Support Team
Premium VPN Access (Optional)
HIPAA & Cybersecurity Training + Certification (Provided)
Top 1% VA Performance Training
Client-Approved U.S. Holidays
Client-Approved Paid or Unpaid Time Off
Access to Tools & Resources
Optional Performance-Based Incentives
Optional contractor perks and client-approved allowances