Brief Description of Duties: * Review incoming medical, pharmacy vision and dental claims ... Provide feedback to team members regarding process improvement opportunities * Asset with training ...
Brief Description of Duties: * Review incoming medical, pharmacy vision and dental claims ... Provide feedback to team members regarding process improvement opportunities * Asset with training ...
Claims Processing Representative
Jeffersonville, IN · On-site
$40K - $52K/yr
The Claims Processing Representative 2 performs varied activities and moderately complex ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...
Claims Processing Representative
Jeffersonville, IN · On-site
$40K - $52K/yr
The Claims Processing Representative 2 performs varied activities and moderately complex ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...
Claims Processing Representative
Clarksville, IN · On-site
$40K - $52K/yr
The Claims Processing Representative 2 performs varied activities and moderately complex ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...
Claims Processing Representative
Clarksville, IN · On-site
$40K - $52K/yr
The Claims Processing Representative 2 performs varied activities and moderately complex ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...
Claims Processing Representative
Jeffersonville, IN · On-site
$40K - $52K/yr
The Claims Processing Representative 2 performs varied activities and moderately complex ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...
Claims Processing Representative
Jeffersonville, IN · On-site
$40K - $52K/yr
The Claims Processing Representative 2 performs varied activities and moderately complex ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...
Claims Analyst
Columbus, IN · On-site
Brief Description of Duties: * Review incoming medical, pharmacy vision and dental claims ... Provide feedback to team members regarding process improvement opportunities * Asset with training ...
Claims Analyst
Columbus, IN · On-site
Brief Description of Duties: * Review incoming medical, pharmacy vision and dental claims ... Provide feedback to team members regarding process improvement opportunities * Asset with training ...
Claims Processing Representative
Clarksville, IN · On-site
$40K - $52K/yr
The Claims Processing Representative 2 performs varied activities and moderately complex ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...
Claims Processing Representative
Clarksville, IN · On-site
$40K - $52K/yr
The Claims Processing Representative 2 performs varied activities and moderately complex ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...
Claims Processing Representative
Seymour, IN · On-site
$40K - $52K/yr
The Claims Processing Representative 2 performs varied activities and moderately complex ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...
Claims Processing Representative
Seymour, IN · On-site
$40K - $52K/yr
The Claims Processing Representative 2 performs varied activities and moderately complex ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...
Claims Processing Representative
Corydon, IN · On-site
$40K - $52K/yr
The Claims Processing Representative 2 performs varied activities and moderately complex ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...
Claims Processing Representative
Corydon, IN · On-site
$40K - $52K/yr
The Claims Processing Representative 2 performs varied activities and moderately complex ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...
Claims Processing Representative
Seymour, IN · On-site
$40K - $52K/yr
The Claims Processing Representative 2 performs varied activities and moderately complex ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...
Claims Processing Representative
Seymour, IN · On-site
$40K - $52K/yr
The Claims Processing Representative 2 performs varied activities and moderately complex ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...
Claims Processing Representative
Corydon, IN · On-site
$40K - $52K/yr
The Claims Processing Representative 2 performs varied activities and moderately complex ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...
Claims Processing Representative
Corydon, IN · On-site
$40K - $52K/yr
The Claims Processing Representative 2 performs varied activities and moderately complex ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...
Claims Analyst
Columbus, IN · On-site
Brief Description of Duties: * Review incoming medical, pharmacy vision and dental claims ... Provide feedback to team members regarding process improvement opportunities * Asset with training ...
Quick apply
Claims Analyst
Columbus, IN · On-site
Brief Description of Duties: * Review incoming medical, pharmacy vision and dental claims ... Provide feedback to team members regarding process improvement opportunities * Asset with training ...
Claims Auditor- Remote
Indianapolis, IN · Hybrid
Affordable Medical/Dental/Vision insurance options * Generous paid time-off program and paid ... Work closely with delegated claim processor to ensure errors are reviewed and corrected prior to ...
Claims Auditor- Remote
Indianapolis, IN · Hybrid
Affordable Medical/Dental/Vision insurance options * Generous paid time-off program and paid ... Work closely with delegated claim processor to ensure errors are reviewed and corrected prior to ...
Group health, dental, and vision * 401K with company match What you'll do at Crew: * Claims Processing & Resolution * Unlimited Customer Support / Call Queue * Customer Feedback / Complaint ...
Group health, dental, and vision * 401K with company match What you'll do at Crew: * Claims Processing & Resolution * Unlimited Customer Support / Call Queue * Customer Feedback / Complaint ...
Group health, dental, and vision * 401K with company match What you'll do at Crew: * Claims Processing & Resolution * Unlimited Customer Support / Call Queue * Customer Feedback / Complaint ...
Group health, dental, and vision * 401K with company match What you'll do at Crew: * Claims Processing & Resolution * Unlimited Customer Support / Call Queue * Customer Feedback / Complaint ...
Claims Manager - Indianapolis, IN - Hybrid
Indianapolis, IN · Hybrid
$86K - $123K/yr
This role is responsible for overseeing claims processing functions, driving performance ... Comprehensive benefits package including medical, dental, vision, 401(k) with company match, paid ...
Claims Manager - Indianapolis, IN - Hybrid
Indianapolis, IN · Hybrid
$86K - $123K/yr
This role is responsible for overseeing claims processing functions, driving performance ... Comprehensive benefits package including medical, dental, vision, 401(k) with company match, paid ...
Claims Manager - Indianapolis, IN - Hybrid
Indianapolis, IN · Hybrid
$86K - $123K/yr
This role is responsible for overseeing claims processing functions, driving performance ... Comprehensive benefits package including medical, dental, vision, 401(k) with company match, paid ...
Claims Manager - Indianapolis, IN - Hybrid
Indianapolis, IN · Hybrid
$86K - $123K/yr
This role is responsible for overseeing claims processing functions, driving performance ... Comprehensive benefits package including medical, dental, vision, 401(k) with company match, paid ...
Claims Manager - Indianapolis, IN - Hybrid
Indianapolis, IN · On-site
$86K - $123K/yr
This role is responsible for overseeing claims processing functions, driving performance ... Comprehensive benefits package including medical, dental, vision, 401(k) with company match, paid ...
Claims Manager - Indianapolis, IN - Hybrid
Indianapolis, IN · On-site
$86K - $123K/yr
This role is responsible for overseeing claims processing functions, driving performance ... Comprehensive benefits package including medical, dental, vision, 401(k) with company match, paid ...
Customer Claims Specialist
Fishers, IN · On-site
$15.25 - $20.25/hr
Group health, dental, and vision * 401K with company match What you'll do at Crew: * Claims Processing & Resolution * Unlimited Customer Support / Call Queue * Customer Feedback / Complaint ...
Customer Claims Specialist
Fishers, IN · On-site
$15.25 - $20.25/hr
Group health, dental, and vision * 401K with company match What you'll do at Crew: * Claims Processing & Resolution * Unlimited Customer Support / Call Queue * Customer Feedback / Complaint ...
Annuity Claims Manager
Zionsville, IN · Hybrid
Manage and coach a team of annuity claims processors and reviewers * Set performance goals, conduct ... health, dental, and vision insurance plan options. Employees are also eligible for Basic and ...
Annuity Claims Manager
Zionsville, IN · Hybrid
Manage and coach a team of annuity claims processors and reviewers * Set performance goals, conduct ... health, dental, and vision insurance plan options. Employees are also eligible for Basic and ...
... processes and requirements, coding updates, and common billing errors to reduce claims denials and ... dental coverage* - Six paid holidays, two paid floating holidays, and paid vacation ...
Quick apply
... processes and requirements, coding updates, and common billing errors to reduce claims denials and ... dental coverage* - Six paid holidays, two paid floating holidays, and paid vacation ...
Dental Claims Processing information
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?
| Aspect | Dental Claims Processing | Dental Billing Specialist |
|---|---|---|
| Credentials | Knowledge of insurance policies, basic coding certifications | Dental coding certifications, billing software proficiency |
| Work Environment | Insurance companies, dental offices, healthcare providers | Dental offices, billing companies, healthcare practices |
| Employer & Industry Usage | Insurance companies, dental clinics | Dental 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.
What are the most commonly searched types of Dental Claims Processing jobs in Indiana? The most popular types of Dental Claims Processing jobs in Indiana are:
What are popular job titles related to Dental Claims Processing jobs in Indiana? For Dental Claims Processing jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Dental Claims Processing jobs in Indiana look for? The top searched job categories for Dental Claims Processing jobs in Indiana are:
What cities in Indiana are hiring for Dental Claims Processing jobs? Cities in Indiana with the most Dental Claims Processing job openings:
Full-time
Medical, Dental, Vision
Posted 18 days ago
Job description
Job Title:Â Â Â Â Â Â Claims Analyst
Reports To:Â Â Supervisor of Claims Â
This is a non-exempt position responsible for reviewing, analyzing, and adjudicating non-routine health claims that could not be system adjudicated for payment. Analyst must research and interpret summary plan description language and make accurate determination for adjudication or denial of claim. Analyst must also assist in determining cause for manual intervention, then assist in writing logic and workflow automation for future claims.
Brief Description of Duties:Â
- Review incoming medical, pharmacy vision and dental claimsÂ
- Determine and apply appropriate health plan benefits and update claims for payment
- Ensure timely and accurate claims adjudication
- Follow company guidelines and policies for adjudicating claims and responding to members
- Act as a resource for questions, opportunities, and research issues for all internal and external customers
- Responsible for meeting performance measurement standards for productivity and accuracy
- Identify and resolve operational problems using defend processes, judgment, and expertise
- Provide feedback to team members regarding process improvement opportunities
- Asset with training and mentoring of new team members
- Resolve identified claims issues based on CCI edit repot to comply with CMS guidelines.
- Represent the department when needed for internal and external company meetings
- Complete special projects (including research) as assigned by Claims Supervisor or Director of Claims
- High level understanding of state and federal laws specific to health plan administration (HIPPA, ERISA, MHPAEA, ACA Mandates etc.)
- Develop and maintain statistical data as required
- Assist in departmental reporting
Minimum Skills Requirement:
- Post-secondary education or two years experience in a claims processing environment
- Experience in Medicare Advantage strongly preferred
- Excellent communications (oral and written) skills
- Intermediate skill levels in Microsoft Word, Excel, and Outlook preferred
- Ability to work at a self-directed pace in a changing, multi-task environment
- Detail oriented
- Professional appearance and presence
- Commitment to support and maintain confidentiality in conformance to HIPAA guidelines
Other:
- Confirmation of excellent attendance record in current or most recent job
- General knowledge and understanding of claims processing functions