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Remote Dental Claims Processing Jobs in Colorado

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 ...

Claims Processor II

Denver, CO · On-site +1

$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 ...

Claims Processor II

Denver, CO · On-site +1

$22.84 - $27.40/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 ...

Risk Claims Manager

Denver, CO · Remote

$85K - $95K/yr

This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and ... Knowledge of statistical process control desirable.

... processes. Requirements * Bachelor's degree and/or equivalent experience and seven or more (7+) ... Ryder offers comprehensive health and welfare benefits, to include medical, prescription, dental ...

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Remote Dental Claims Processing information

See Colorado salary details

$16

$20

$23

How much do remote dental claims processing jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for remote dental claims processing in Colorado is $20.13, according to ZipRecruiter salary data. Most workers in this role earn between $18.22 and $21.97 per hour, depending on experience, location, and employer.

What is remote dental claims processing?

A Remote Dental Claims Processing job involves reviewing, verifying, and processing dental insurance claims from a remote location. Professionals in this role assess claim accuracy, ensure compliance with insurance policies, and communicate with providers or policyholders if additional information is needed. They use specialized software to submit claims, check eligibility, and resolve discrepancies. Strong attention to detail and knowledge of dental terminology and insurance policies are essential for success in this position.

What are the key skills and qualifications needed to thrive in remote dental claims processing?

To thrive in Remote Dental Claims Processing, you need a strong understanding of dental insurance policies, coding (such as CDT codes), and claims review procedures, often supported by experience in dental billing or a related certification. Familiarity with claims management software, electronic health records (EHR), and secure remote communication tools is typically required. Attention to detail, effective written communication, and time management are essential soft skills for success in this role. These skills ensure errors are minimized, claims are processed promptly, and communication with providers and payers remains clear and professional.

What are some typical challenges faced in remote dental claims processing and how can they be managed?

Working in remote dental claims processing often involves balancing a high volume of claims while ensuring each claim is accurately coded and documented, which can be challenging when dealing with complex dental procedures or discrepancies in submitted information. Staying updated on ever-changing insurance policies and payer requirements is also essential. Success in this role often depends on strong organizational skills, proactive communication with team members and providers, and continual professional development. Utilizing workflow management tools and keeping a well-organized digital workspace can help streamline tasks and reduce errors. Many employers also offer ongoing training and support to help remote team members stay current and succeed in their roles.

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

The top searched job categories for Remote Dental Claims Processing jobs in Colorado are:

What cities in Colorado are hiring for Remote Dental Claims Processing jobs?

Cities in Colorado with the most Remote Dental Claims Processing job openings:

Infographic showing various Remote Dental Claims Processing job openings in Colorado as of August 2026, with employment types broken down into 74% Full Time, 13% Part Time, and 13% Contract. Highlights an 100% Remote job distribution, with an average salary of $41,863 per year, or $20.1 per hour.

Claims Processor II

InnovAge

Denver, CO • Remote

$22.84 - $31.97/hr

Full-time

Re-posted 7 days ago


InnovAge rating

6.6

Company rating: 6.6 out of 10

Based on 18 frontline employees who took The Breakroom Quiz


Job description

Responsibilities

The Claims Processor II is responsible for ensuring the accurate and timely 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 accuracy and minimize expense, using various software and customized applications. The position interacts with all external providers, vendors, and external agencies on issues related to claims submission, process and payment.

  • Train providers and address provider appeals per CMS and NCCI guidelines adjusting claims as appropriate.
  • Monitor and clear pended claims as necessary via research and system updates/corrections.
  • Downgrades DRG claims and reprocesses per the direction of InnovAge’s external audit vendor.
  • Processes provider refunds, creating, coordinating and reconciling activity with AP.
  • Receives inbound customer service calls and e-mails, answering claims questions in regards to claim status, verification of eligibility/benefits, billing and payment per CMS, NCCI and InnovAge guidelines.
  • Monitor Smart Data claims activity and work rejected claims by making necessary adjustments to the claim so transmission to the Claims system is possible
  • Clear pended claims. Pull reports daily to research and resolve the issues stopping the claim from processing, up to and including loading provider data to the PCM claims system.
  • Conduct weekly batch reviews, monitoring a reviewing a host of internal reports to maximize accuracy of claim payments
  • Under the supervision of the team lead load new providers to InnovAge’s PCM Network to allow claims to process and pay per expectations
  • Work with Center Leadership to approve claims from non-contracted providers, communicating the need for contracts as necessary
  • Research and resolve Provider reconciliations to address billing/payment issues – research claims and communicate resolution to provider.
  • Performs provider fee schedule maintenance for Housing providers
  • Train external providers on how to execute and CMS UB04, HCFA or Dental claim as necessary
  • Process Refunded payments back to the claims system, ensuring shared spreadsheets are up to date and accurately maintained for reconciliation purposes with Accounting
  • Work claims audits generated by Virtual Examiner –500-1500 weekly
  • Work IP audits generate by Varis, adjusting claims and submitting invoices to AP
  • Reviews and responds to Provider appeals, including research, claims adjustment and drafting responses to providers
  • Resolves claims issues through contact with participants, physicians, facilities and others and makes changes to claims based on results of those conversations.
  • Hand key paper claims activity that is loaded in KL i.e. Smart Data rejects

REQUIRED

  • 3+ as a Claims Processor or similar position in either a doctor’s office, healthcare clinic or other healthcare setting; or equivalent combination of education and experience.
  • Ability to type 10,000+ KSPH (alpha/numeric), in addition to being able to produce business correspondence to both participants and regulatory agencies
  • Must have intermediate customer service skills and be able to research and communicate information to callers in a timely manner.
  • Experience with basic office machines such as copiers, scanners and multi-line phone systems are essential.
  • Current experience in communicating claims issues with physicians and their staff, participants, and other regulatory agencies
  • Associates degree or Certificate in healthcare sciences, health information technology or a related field from an accredited college

PREFERRED

  • Experience with medical billing and/or coding as well as document imaging systems and Medical Terminology.
  • Prior experience working with Plexis, Virtual Examiner, ABCT, Encoder Plus
  • Prior Audit experience
  • Bi-lingual in Spanish

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