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Remote Dental Claims Processing Jobs in Florida (NOW HIRING)

Process claims end-to-end * Identify and escalate complex or unusual claims for further review or ... Medical, Dental, Vision, Life, HSA, 401(k) * Paid Time Off (PTO) * 7 paid holidays * A supportive ...

Process claims end-to-end * Identify and escalate complex or unusual claims for further review or ... Medical, Dental, Vision, Life, HSA, 401(k) * Paid Time Off (PTO) * 7 paid holidays * A supportive ...

Senior Staff Dentist

Tampa, FL · On-site +1

$175K - $185K/yr

... dental care by providing clinical oversight of utilization management and claims review processes ... Remote role with collaboration across national teams * High-impact role shaping clinical standards ...

Senior Staff Dentist

Tampa, FL · Remote

$175K - $185K/yr

... dental care by providing clinical oversight of utilization management and claims review processes ... Remote role with collaboration across national teams * High-impact role shaping clinical standards ...

Whether you're managing claims, supporting clients, or improving processes, you'll play a vital ... This role is eligible for fully remote work. How you'll make an impact * Apply claims management ...

Claims Clerk

Tampa, FL · Remote

$12.03 - $21.99/hr

Claims Clerk (Remote) Ready to kickstart your career in a fastmoving, supportive environment? Join ... Handle clerical and administrative tasks to support the claims process Assist with documentation ...

Claims Clerk

Tampa, FL · Remote

$12.03 - $21.99/hr

Claims Clerk (Remote) Ready to kickstart your career in a fastmoving, supportive environment? Join ... Handle clerical and administrative tasks to support the claims process Assist with documentation ...

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintain accurate, thorough, and current claim file documentation throughout the claims process.

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Remote Dental Claims Processing information

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 Florida look for?

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

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

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

Infographic showing various Remote Dental Claims Processing job openings in Florida as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Claims Examiner - Remote

Imagenet

Tampa, FL • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 days ago


Job description

Claims Examiner - Remote
Job Type: Full-time
Work Setup: This is a fully remote position
Work Hours: Pacific Time Zone
We are looking for Experienced Claims Examiner to join our rapidly growing team.
Experience is required for this position.
Job Overview:
As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual agreements, regulatory requirements, and internal policies.
Responsibilities:
  • Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement methodologies.
  • Review and investigate provider dispute requests, appeals, and reconsiderations related to processed medical claims.
  • Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing.
  • Communicate with internal resources, and internal stakeholders to resolve claim discrepancies, request additional information, or clarify issues.
  • Participate in ongoing training and professional development activities.
  • Maintain accurate and detailed records of claims processing activities.
  • Review claim forms and supporting documents
  • Determine eligibility, verify data accuracy
  • Request additional information when needed
  • Process claims end-to-end
  • Identify and escalate complex or unusual claims for further review or investigation.
  • Participate in ongoing training and professional development activities.
  • Handle more complex claims with multiple services, providers

Experience:
  • At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment.
  • Experience processing Provider Dispute Resolution (PDR), appeals, reconsiderations, or claim adjustments is highly preferred.
  • Understanding of health claims processing/adjudication
  • Ability to perform basic to intermediate mathematical computation routines
  • Medical terminology strongly preferred
  • Understanding of ICD-9 & ICD-10
  • Basic MS office computer skills
  • Ability to work independently or within a team
  • Time management skills
  • Written and verbal communication skills
  • Attention to detail
  • Must be able to demonstrate sound decision-making skills

What We Offer
  • Remote work offered
  • Equipment provided
  • Paid training to set you up for success
  • Comprehensive benefits: Medical, Dental, Vision, Life, HSA, 401(k)
  • Paid Time Off (PTO)
  • 7 paid holidays
  • A supportive team and a company that values internal growth

Ready to Grow Your Career?
We'd love to meet you! Click "Apply Now" and tell us why you'd be a great addition to the Imagenet team.
About Imagenet, LLC
Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans' members and providers.
The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans' members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.
Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.