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Dental Claim Reviewer Jobs (NOW HIRING)

Claims Processor II

Denver, CO · Remote

$22.84 - $31.97/hr

Train external providers on how to execute and CMS UB04, HCFA or Dental claim as necessary ... Reviews and responds to Provider appeals, including research, claims adjustment and drafting ...

Maintains 95% accuracy in claim reviews. * Must be available to work a 7.5-hour workday during ... Benefits and perks include: * Healthcare that fits your needs - We offer excellent medical, dental ...

DRG Reviewer

Manhattan, NY · On-site +1

$85K - $90K/yr

Maintains 95% accuracy in claim reviews. * Must be available to work a 7.5-hour workday during ... Benefits and perks include: * Healthcare that fits your needs - We offer excellent medical, dental ...

Workers' Compensation Claim Adjuster

Wall, NJ · On-site

$68K - $88K/yr

Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices ... Medical, Dental, Vision, Life, and Disability Insurance * Retirement plans : 401(k) and Employee ...

Review, approve, and negotiate medical, legal, damage estimate, and related claim expenses ... Medical, Dental, Vision, Life, and Disability Insurance * Retirement plans : 401(k) and Employee ...

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Dental Claim Reviewer information

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How much do dental claim reviewer jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for dental claim reviewer in the United States is $21.05, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $22.84 per hour, depending on experience, location, and employer.

What is a dental claim reviewer?

A Dental Claim Reviewer evaluates dental insurance claims to ensure accuracy, compliance with policies, and proper documentation. They review treatment plans, verify coding, and determine coverage based on insurance guidelines. Their role helps prevent fraudulent claims and ensures that providers and patients receive appropriate benefits. Strong attention to detail and knowledge of dental procedures are essential for this position.

What does a dental claim reviewer do?

A typical workday for a Dental Claim Reviewer involves thoroughly evaluating dental insurance claims, verifying patient eligibility, and ensuring compliance with coverage guidelines. You may communicate regularly with dental offices, providers, and policyholders to clarify information or request additional documentation. The role often involves working independently with set productivity goals, while also collaborating closely with claims processing teams and supervisors. Reviewers must stay up-to-date on changing dental codes and industry regulations. This blend of independent work and teamwork makes the role both challenging and rewarding for those who excel in detail-oriented tasks.

What are the key skills and qualifications needed to thrive as a dental claim reviewer?

To thrive as a Dental Claim Reviewer, you need in-depth knowledge of dental terminology, insurance policies, and claims processes, often supported by experience in dental billing or a related certification. Familiarity with dental claims management software and electronic health records (EHR) systems is typically important. Attention to detail, analytical thinking, and effective communication skills are crucial soft skills for excelling in this role. These competencies ensure accurate claim assessment, smooth workflow, and productive interactions with dental providers and insurance teams.

How to become a dental claim reviewer?

To become a dental claim reviewer, candidates typically need a background in dental assisting, dental hygiene, or healthcare administration, along with knowledge of dental insurance policies and claims processing. Relevant skills include attention to detail, familiarity with claims software, and sometimes certification such as the Certified Dental Coder (CDC) or similar credentials. Most positions require a high school diploma or equivalent, with some employers preferring post-secondary education or experience in dental billing or insurance review.
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What cities are hiring for Dental Claim Reviewer jobs?

Cities with the most Dental Claim Reviewer job openings:

What are the most commonly searched types of Dental Claim Reviewer jobs?

The most popular types of Dental Claim Reviewer jobs are:

What states have the most Dental Claim Reviewer jobs?

States with the most job openings for Dental Claim Reviewer jobs include:

Infographic showing various Dental Claim Reviewer job openings in the United States as of August 2026, with employment types broken down into 86% Full Time, and 14% Part Time. Highlights an 100% In-person job distribution, with an average salary of $43,783 per year, or $21 per hour.

Front Desk Receptionist / treatment planner

Fernando Gutierrez DDS PA

Pembroke Pines, FL • On-site

$18 - $25/hr

Full-time

Retirement

Re-posted 16 days ago


Job description

We are seeking a detail-oriented and organized Insurance Verification Specialist to join our dentalcare team. The ideal candidate will be responsible for verifying patient insurance coverage, ensuring accurate dental claim billing, and maintaining up-to-date dental claims records. This role is crucial in facilitating seamless communication between office manager, healthcare providers, and insurance companies.

Responsibilities

  • Conduct thorough verification of patient insurance information prior to services rendered.
  • Review and interpret medical records to ensure accuracy in coding and billing.
  • Utilize knowledge of coding systems to assist in the verification process.
  • Communicate with insurance companies to resolve discrepancies and obtain necessary authorizations.
  • Maintain accurate documentation of all verification activities and updates to patient records.
  • Conduct dental claim submission of insurance claims or billing inquiries.
  • Stay informed about changes in dental terminology, coding practices, and insurance policies.

Skills

  • Strong understanding of dental terminology and its application in insurance verification.
  • Experience in dental billing, collections, and handling dental records.
  • Excellent attention to detail with strong organizational skills.
  • Ability to communicate effectively with office manager, healthcare providers, and insurance representatives.
  • Proficient in using Dentrix systems and other relevant software tools.

Join our team as an Insurance Verification Specialist and contribute to providing exceptional care while ensuring the accuracy of patient information and billing processes.

Job Type: Full-time

Benefits:

  • 401(k)
  • Paid time off