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Dental Claims Processing Jobs (NOW HIRING)

LIBERTY DENTAL

Process dental claims, pre-authorizations, referrals, and benefit determinations accurately and efficiently. * Review and adjudicate claims in accordance with plan guidelines, state regulations, and ...

NRECA

Dental Claims Associate

Lincoln, NE

$49K - $58K/yr

Process and adjudicate dental claims according to plan provisions and company guidelines. * Research, investigate, and resolve claim-related issues and discrepancies. * Communicate with members and ...

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How much do dental claims processing jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for dental claims processing in the United States is $19.14, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $20.91 per hour, depending on experience, location, and employer.

What is dental claims processing?

Dental claims processing is the procedure of reviewing, validating, and adjudicating claims submitted by dental providers to insurance companies for payment. This process involves checking the accuracy of the submitted information, verifying patient eligibility, ensuring the services are covered under the dental plan, and determining the appropriate payment or denial of the claim. Efficient claims processing helps ensure timely reimbursement for providers and accurate benefits for patients. It often requires knowledge of dental terminology, coding, insurance policies, and compliance regulations.

What are the key skills and qualifications needed to thrive in dental claims processing, and why are they important?

To excel in Dental Claims Processing, you need a solid understanding of dental terminology, insurance policies, and claims procedures, often supported by experience in dental office administration or billing. Familiarity with dental practice management software, claims management systems, and coding standards like CDT is typically required. Strong attention to detail, organizational skills, and effective communication help ensure accurate claims submission and resolution. These skills are crucial for minimizing claim denials, expediting reimbursements, and maintaining positive relationships between providers, patients, and insurers.

What are some common challenges faced in dental claims processing, and how can they be managed?

Dental claims processors often encounter challenges such as interpreting complex dental treatment codes, verifying patient eligibility, and ensuring accurate documentation for timely claim approval. Staying up-to-date with insurance policies and industry coding standards is crucial to reducing errors and claim denials. Effective communication with dental offices and insurers, attention to detail, and ongoing training can help manage these challenges and support efficient claim resolution.

What is the difference between Dental Claims Processing vs Dental Billing Specialist?

AspectDental Claims ProcessingDental Billing Specialist
CredentialsKnowledge of insurance policies, basic coding certificationsDental coding certifications, billing software proficiency
Work EnvironmentInsurance companies, dental offices, healthcare providersDental offices, billing companies, healthcare practices
Employer & Industry UsageInsurance companies, dental clinicsDental practices, billing service providers

Dental Claims Processing focuses on reviewing and submitting insurance claims for dental procedures, ensuring proper reimbursement. Dental Billing Specialists handle patient billing, coding, and payment collections. While both roles involve dental coding and insurance knowledge, Claims Processing emphasizes claim submission and follow-up, whereas Billing Specialists focus on patient invoicing and account management.

How to become a dental claims processing specialist?

To become a dental claims processing specialist, candidates typically need a high school diploma or equivalent, along with knowledge of dental insurance policies and claims procedures. Relevant skills include attention to detail, familiarity with claims processing software, and strong communication abilities. Certification programs in insurance billing or claims processing can enhance job prospects.

How to get a job as a dental claims processor?

To become a dental claims processor, candidates typically need a high school diploma or equivalent, along with knowledge of dental insurance policies and claims processing software. Relevant skills include attention to detail, communication, and familiarity with healthcare billing systems. Certification in medical billing or coding can enhance job prospects.

Is dental claims processing a stressful job?

Dental claims processing can be stressful due to the need for accuracy, attention to detail, and meeting deadlines. The role often involves handling complex insurance policies and documentation, which can contribute to work pressure, especially during high-volume periods or when resolving claim disputes.
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Dental Claims Processing jobs near you
Infographic showing various Dental Claims Processing job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, and 5% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $39,812 per year, or $19.1 per hour.

Dental Claims Processor

Oklahoma City, OK • On-site

Oklahoma City Indian Clinic
51 - 200 employees
Learn more about Oklahoma City Indian Clinicexternal

Full-time

Dental, Vision

Posted 20 days ago

Key responsibilities

  • Process and submit dental claims for adjudication and payment, ensuring accuracy and completeness.

  • Follow up on invalid claims, investigate questionable claims with certified coders, and make necessary corrections.

  • Create and process claims in Dentrix and EDS, and ensure claims meet timely filing requirements.

Oklahoma City Indian Clinic rating

7.3

Company rating: 7.3 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

Oklahoma City Indian Clinic (OKCIC) is a non-profit corporation that provides culturally sensitive health care to the American Indian population. OKCIC services include not only basic medical care but also dental, optometry, behavioral health, fitness, nutrition, and other family programs.

Our mission is to provide excellent healthcare to American Indians. We do this by putting people first, providing quality services, and maintaining our Integrity and Professionalism.

We are looking to add compassionate team players to our growing team as we continue to work toward our goal of becoming the national model for American Indian Health Care.

Oklahoma City Indian Clinic is hiring a Dental Claims Processor for our Dental team! This position will process and submit dental claims for adjudication and payment, ensuring claims are accurate, complete, and submitted within required timely filing deadlines. The Dental Claims Processor will submit HIPAA-compliant claim batches to Medicare, Medicaid, and commercial insurers, create and process claims in Dentrix and EDS, and follow up on invalid claims. This position will investigate questionable claims and services with certified coders, make necessary corrections to claims, and answer claims-related questions as needed.

Applicants claiming Indian Preference must complete the full application and must provide documentation verifying eligibility (such as a tribal enrollment card or Certificate of Degree of Indian Blood (CDIB)).

Job duties include, but are not limited to:

  • Submit HIPAA-compliant claim batches to Medicare, Medicaid, and commercial insurers.
  • Follow up on invalid claims in EDS and utilize the invalid claims report to make necessary corrections.
  • Create and process claims in Dentrix and EDS.
  • Create claims to meet timely filing requirements.
  • Submit and follow up on HIPAA-compliant claims.
  • Investigate questionable claims and services in collaboration with certified coders.
  • Answer phone calls regarding claims questions as needed.
  • Thoroughly review claims to ensure there is no missing or incomplete information.
  • Participate in required training and educational activities necessary to fulfill departmental goals.
  • Research training opportunities related to the dental billing office to remain current on billing practices and coding changes and submit training recommendations to the Dental Director for approval.

The Oklahoma City Indian Clinic is a non-profit organization and not a federal employer. Indian preference hiring laws apply. The Clinic is a 501(c)(3) non-profit corporation and an Equal Employment Opportunity (EEO) employer. The Clinic adheres to all applicable laws prohibiting discrimination in employment, including protections based on race, color, sex, national origin, age, disability, religion, veteran status, and other characteristics as required by federal, state, or local law.

  • Must align with OKCIC vision, mission, and core values.
  • High school diploma or GED
  • Two (2) years of experience in dental billing.
  • Knowledge of Medicare, Medicaid, and commercial dental insurance plans.
  • Knowledge of ICD-10, CPT, and CDT codes.
  • Ability to use claims clearinghouse software and EDS.

What Oklahoma City Indian Clinic employees say

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