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Dental Claims Processor Jobs (NOW HIRING)

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Claims Processor II

Columbia, SC

$15.75 - $20/hr

Examines and processes complex or specialty claims according to business/contract regulations ... Subsidized health plans, dental and vision coverage * 401k retirement savings plan with company ...

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Datamark, Inc.

Medical Claims Processor

El Paso, TX · On-site

$16.50/hr

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... Health Care Plan (Medical, Dental & Vision) * Retirement Plan (401k, IRA) * Life Insurance (Basic ...

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How much do dental claims processor jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for dental claims processor 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 a dental claims processor?

Dental claims processors are professionals who review and evaluate dental insurance claims submitted by patients or dental offices. They ensure that claims are complete, accurate, and comply with insurance policies before approving or denying payment. Their work involves verifying patient eligibility, checking treatment codes, and communicating with dentists or policyholders to resolve discrepancies. Dental claims processors play a crucial role in ensuring that claims are processed efficiently and fairly. They often work for insurance companies, dental practices, or third-party administrators.

What does a dental claims processor do?

A dental claims processor assesses insurance claims for patient visits to a dentist office. These claims could include any procedure performed by a dentist on a patient’s teeth, which might cover everything from essential cleaning to surgical procedures. As a claims processor, you ensure each claim is complete and the treatment received meets all the criteria for coverage as laid out by the insurance company. Some processors may work exclusively on dental insurance claims, while the responsibilities of processors in larger healthcare facilities may include working on claims for other medical treatments as well.

What are the key skills and qualifications needed to thrive as a dental claims processor, and why are they important?

To thrive as a Dental Claims Processor, you need a solid understanding of dental terminology, insurance policies, and claims procedures, often supported by a high school diploma or equivalent. Familiarity with dental billing software, claims management systems, and coding standards like CDT is essential. Attention to detail, strong organizational skills, and effective communication help ensure accurate claim processing and positive interactions with providers and patients. These skills are critical for minimizing errors, expediting claims, and maintaining compliance with insurance regulations.

What are some common challenges dental claims processors face when reviewing and adjudicating claims?

Dental Claims Processors often encounter challenges such as interpreting complex dental procedure codes, ensuring claims comply with insurance policies, and identifying incomplete or inaccurate documentation. They must frequently communicate with dental offices to clarify information, which requires strong attention to detail and effective communication skills. Additionally, keeping up with changes in regulations and insurance policies is crucial to accurately process claims and avoid delays or denials.

What is the difference between Dental Claims Processor vs Dental Insurance Coordinator?

AspectDental Claims ProcessorDental Insurance Coordinator
CredentialsTypically requires knowledge of dental billing and claims processing; certifications like CPC or similar are commonRequires understanding of dental insurance policies; certifications may include insurance or billing credentials
Work EnvironmentUsually in dental offices, insurance companies, or billing companiesPrimarily in dental offices or insurance companies, handling policy details and patient inquiries
Employer & Industry UsageUsed by dental practices, billing services, insurance companiesUsed by dental practices, insurance providers, and administrative offices

The main difference is that Dental Claims Processors focus on reviewing and submitting dental insurance claims, while Dental Insurance Coordinators handle policy details, patient communication, and insurance plan management. Both roles require knowledge of dental insurance but serve different functions within the dental insurance process.

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Dental Claims Processor jobs near you
Infographic showing various Dental Claims Processor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $39,812 per year, or $19.1 per hour.

Dental Claims Coordinator- Special Needs Clinic

The University of Tennessee

Memphis, TN • On-site

$19.67/hr

Full-time

Medical, Dental

Re-posted 22 days ago

Job description


Market Range: 06
Hiring Salary: $19.67/Hourly
JOB SUMMARY/ESSENTIAL JOB FUNCTIONS:
The Dental Claims Coordinator for the Special Needs Clinic oversees all dental insurance billing, claims processing, and provider credentialing for AEGD, UDP, and Special Needs Clinic. This position ensures accurate, timely claims and pre-authorizations, with a strong focus on services commonly required by patients with special health care needs such as hospital-based dentistry, sedation, and multidisciplinary treatment. This position serves as the clinic's subject matter expert on CDT coding, payer requirements, and documentation standards for insurance.
Responsibilities
  1. Prepares and submits insurance claims and pre-authorizations (electronic and paper); monitors all unsubmitted or denied claims.
  2. Identifies and resolves payment issues proactively, coordinating with payers to obtain claim approvals.
  3. Audits patient records for accurate financial and CDT coding documentation; initiates corrections and communicates with providers to ensure compliant submissions.
  4. Collaborates with the hospital to create a streamlined process (create and monitor PAs, insurance coordination, and hospital coordination).
  5. Assists students, residents, and staff in understanding insurance protocols.
  6. Maintain up-to-date knowledge of CDT coding, Medicaid/Medicare rules, and payer regulations for dentistry.
  7. Explains treatment costs and insurance coverage.
  8. Performs other duties as assigned.

Qualifications
EDUCATION:
High School Diploma or GED. (TRANSCRIPT REQUIRED)
EXPERIENCE:
Four (4) years of public and private dental claims processing; OR Associate's Degree and two (2) years of public and private dental claims processing.
KNOWLEDGE, SKILLS, AND ABILITIES:
  • Ability to organize and prioritize work to meet competing deadlines.
  • Knowledge of special needs patient population guidelines, regulations, policy, and procedures
  • Knowledge of public and private dental insurance billing policies.
  • Ability to manage multiple job priorities and tasks efficiently, effectively, and accurately while demonstrating close attention to detail.
  • Expert knowledge of dental terminology, treatment planning, CDT coding, accounts receivable and collections processes.
  • Ability to communicate professionally and courteously with faculty, residents, students, patients and staff.
  • Ability to identify, research and/or resolve financial conflicts with insurance companies and patient accounts.

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