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Dental Claims Processing Jobs (NOW HIRING)

Insight Global

Claims Processor

Portland, OR · On-site

$24 - $26/hr

Emphasis on quality and accuracy over high volume Must‐Have Qualifications: * 2+ years of medical and/or dental claims processing experience * 1+ Years of experience with claims adjudication logic ...

Moda Health

Dental Claims Processor I

Milwaukie, OR · Remote

$17.34 - $18.36/hr

Review claims to determine the reason the claim did not auto-adjudicate. Make corrections as ... Use contract notes and a processing manual to apply correct group specific and standard contract ...

Moda Health

Dental Claims Processor I

Milwaukie, OR · Remote

Use contract notes and a processing manual to apply correct group specific and standard contract ... Analyze pended claims to determine why the claim pended from auto-adjudication. * Other duties as ...

Astiva Health

Junior Dental Coordinator

Orange, CA · On-site

$25 - $28/hr

Dental Claims Operations Support * Process and review dental paper claims for completeness and accuracy * Request missing documentation (e.g., X-rays, narratives, periodontal charting) to ensure ...

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Dental Claims Processing information

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How much do dental claims processing jobs pay per hour?

As of Jul 27, 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.

Is claims processing a stressful job?

Dental claims processing can be stressful due to tight deadlines, high accuracy requirements, and the need to handle complex or disputed claims. Attention to detail and familiarity with billing software can help manage workload and reduce stress levels.

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.

What does an insurance claims processor do?

An insurance claims processor reviews and evaluates insurance claims, including dental claims, to determine coverage and payment amounts. They verify patient information, ensure claims are complete and accurate, and process payments using claims processing software, often working within established guidelines and regulations.

How to become a dental claims adjuster?

To become a dental claims adjuster, you typically need a high school diploma or equivalent, along with knowledge of dental insurance policies and claims processing. Many employers prefer candidates with experience in insurance, claims, or healthcare, and some states require licensing or certification. Developing skills in customer service, attention to detail, and familiarity with claims management software can also be beneficial.

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 is the highest paying dental job?

The highest paying dental jobs are typically specialized roles such as oral and maxillofacial surgeons, prosthodontists, and orthodontists, who often earn six-figure salaries. These positions require advanced training, certifications, and often involve complex procedures or surgeries. Salaries can vary based on experience, location, and practice setting.

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.
More about Dental Claims Processing jobs
What cities are hiring for Dental Claims Processing jobs? Cities with the most Dental Claims Processing job openings:
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What states have the most Dental Claims Processing jobs? States with the most job openings for Dental Claims Processing jobs include:
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Dental Claims Processing jobs near you
Infographic showing various Dental Claims Processing job openings in the United States as of July 2026, with employment types broken down into 90% Full Time, 8% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $39,812 per year, or $19.1 per hour.
Claims Processor

Claims Processor

Insight Global

Portland, OR • On-site

$24 - $26/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Job description

Job Description:

Our client is seeking a Claims Processor to support a long‐standing benefits organization. This role supports U.S. Benefits, a small, experienced claims processing team within a multi‐employer trust environment. This position is open due to upcoming retirements of senior claims processors and will play a key role in claims processing, auditing, adjudication logic, and knowledge transfer. The ideal candidate has strong medical and/or dental claims experience and is comfortable working in a lower‐volume, high‐accuracy environment.

Responsibilities:

Process medical and/or dental claims across the full lifecycle:

  • Intake and review
  • Data entry and validation
  • Claims adjudication
  • Follow‐ups and issue resolution
  • Appeals processing
  • Final claims resolution
  • Audit claims processed by other team members
  • Apply adjudication logic and benefit plan rules accurately
  • Support claims system configuration and processing logic
  • Assist with reporting, data needs, and coding requirements
  • Respond to member and provider inquiries via phone and email (moderate volume)
  • Collaborate with internal teams to ensure compliance and accuracy
  • Maintain detailed documentation and adhere to regulatory requirements

Claims Volume:

  • A few thousand claims per month that is shared across a 3–4 person team
  • Emphasis on quality and accuracy over high volume

Must‐Have Qualifications:

  • 2+ years of medical and/or dental claims processing experience
  • 1+ Years of experience with claims adjudication logic and appeals
  • 1+ years of experience auditing claims and ensuring compliance
  • Familiarity with claims processing systems and configuration tools
  • Experience handling customer inquiries via phone and email
  • High attention to detail and ability to work independently
  • Comfortable working in a small team environment

Nice‐to‐Have / Pluses:

  • Experience with reporting and data analysis related to claims
  • Coding or system configuration experience
  • Background in multi‐employer trusts or benefits administration
  • Experience supporting process improvement initiatives

Work Schedule:

  • Monday–Friday
  • Hours: 8:00 AM – 5:00 PM
  • 40 hours/week


Additional Notes:

  • Small office environment
  • Pet friendly office
  • Reporting directly to the President
  • Strong knowledge of Medical or Dental Claims
  • Great work environment
  • Not a production‐heavy claims environment; accuracy is key