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Dental Claims Processing Jobs (NOW HIRING)

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 ...

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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How much do dental claims processing jobs pay per hour?

As of Sep 10, 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.

Claims Analyst

Columbus, IN • On-site

SIHO HOLDING INC
See more jobs at SIHO HOLDING INCexternal

Full-time

Medical, Dental, Vision

Re-posted yesterday

Job description

Job Title: Claims Analyst
Reports To: Supervisor of Claims
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:
  • Review incoming medical, pharmacy vision and dental claims
  • 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

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