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Dental Claims Processing Jobs (NOW HIRING)

Humana

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

As a Claims Processing Professional, you will: * Review and process healthcare claims within ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...

Humana, Inc.

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

As a Claims Processing Professional, you will: * Review and process healthcare claims within ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...

Apple Tree Dental

Dental Claims Specialist

New Brighton, MN · On-site

$22 - $25/hr

We are currently seeking a dedicated Dental Claims Specialist to join our Corporate Team at our New ... If you would like more information about how your data is processed, please contact us. apply for ...

SIHO HOLDING INC

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 ...

SIHO HOLDING INC

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 ...

SIHO Insurance Services, Inc.

Be Seen First

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 ...

PharMerica

Claims Processing Supervisor

Louisville, KY · On-site +1

Medical, Dental, Vision insurance * Health Savings & Flexible Spending Accounts (up to $5,000 for ... and process changes as directed by 3rd Party Claims Manager, Director or Senior Management and ...

TriOptus LLC

Claims Processors

Denver, CO · On-site

$17.50 - $22.25/hr

... processing of all UB, HCFA and Dental claims submitted by external providers for participant care per company and CMS guidelines. This position monitors and processes claim audits to maximize ...

SIHO Insurance Services

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 ...

InnovAge

Claims Processor II

Denver, CO · Remote

$22.84 - $31.97/hr

... processing of all UB, HCFA and Dental claims submitted by external providers for participant care per company and CMS guidelines. This position monitors and processes claim audits to maximize ...

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Dental Claims Processing information

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$15

$19

$22

How much do dental claims processing jobs pay per hour?

As of Aug 20, 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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The most popular types of Dental Claims Processing jobs are:

What states have the most Dental Claims Processing jobs?

States with the most job openings for Dental Claims Processing jobs include:

What job categories do people searching Dental Claims Processing jobs look for?

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Dental Claims Processing jobs near you
Infographic showing various Dental Claims Processing job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% 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.

Claims Processing Professional

Humana

Miramar, FL • On-site

$53K - $72K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Humana rating

8.0

Company rating: 8.0 out of 10

Based on 266 frontline employees who took The Breakroom Quiz

166th of 310 rated insurance

Job description

Become a part of our caring community
As a Claims Processing Professional, you'll review healthcare claims to help ensure their accuracy. You'll review claim information, verify eligibility, authorizations, and provider contracts, and determine appropriate claim outcomes while following established policies and regulatory guidelines.
In this in-office position reporting to the Enterprise Transformation Director, you'll collaborate with other teams, navigate multiple systems, and help deliver claim resolutions that support a positive experience for providers and members. If you enjoy making an impact behind the scenes, we'd love to have you on our team.This is in office position requires you to be on site at our Miramar, FL branch location.

As a Claims Processing Professional, you will:

  • Review and process healthcare claims within established turnaround times.
  • Verify member eligibility, provider information, authorizations, and contractual requirements before processing claims.
  • Determine whether you should approve, deny, adjust, or return claims for additional information.
  • Resolve claim discrepancies by gathering and evaluating supporting documentation.
  • Process both electronic and paper claims while maintaining productivity, quality, and accuracy standards.
  • Use multiple internal systems to review claims, document findings, and complete claim processing.
  • Maintain compliance with HIPAA regulations, organizational policies, and all applicable state and federal guidelines.
  • Collaborate with internal departments to resolve claim issues and support claim adjudication.
  • Adapt to evolving business processes, system enhancements and regulatory changes.
  • Meet productivity, quality, and performance expectations.

Use your skills to make an impact

Required Qualifications

  • Minimum of 1 year of healthcare claims processing experience.
  • Knowledge of healthcare claims processing practices and medical insurance terminology.
  • Work across multiple computer systems.
  • Prioritize multiple tasks and work independently.
  • Commitment to HIPAA compliance.

Preferred Qualifications

  • Experience processing medical, home health, or managed care claims.
  • Knowledge of CPT, ICD-10, and HCPCS coding.
  • Experience working with provider contracts, authorizations, or eligibility verification.
  • Bilingual (English/Spanish).
  • Associate's degree or higher in Business, Healthcare Administration, or a related field.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


$53,700 - $72,600 per year


Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About OneHome: OneHome coordinates a full range of post-acute care ranging from home health, infusion therapy and durable medical equipment services at patients' homes. OneHome's patient focused model creates one integrated point of accountability that coordinates with physicians, hospitals and health plans serving more than one million health plan members nationwide. OneHome was acquired by Humana in 2021 to advance value-based care. Our culture is inclusive, diverse, and above all, caring. It is important to us that our employees are engaged, supported and fairly treated. We offer a comprehensive benefits package to ensure the health and financial well-being of you and your family.About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

What Humana employees say

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About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

Social media

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