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Remote Dental Claims Processing Jobs in Michigan

BeneSys, Inc.

Claims Analyst (Troy, MI)

Troy, MI · Remote

... dental, and vision claims processing of claims submitted electronically or on hard copy. Each ... Applicants for this remote role will only be considered if they live in these locations: Arizona ...

BeneSys, Inc.

Specialty Claims Analyst (Troy, MI)

Troy, MI · Remote

$21 - $24/hr

... process submitted claims. Assists with customer service. Applicants for this remote role will only ... Medical, dental, and vision insurance, with option for dependent coverage * Company-paid basic life ...

Great American Insurance Group

$20 - $27/hr

... and processed accurately and efficiently. This role serves as a key partner to adjusters by ... This is a remote, work-from-home position for candidates located within the Mountain or Central ...

Select Minds LLC

Facets Analyst

Lansing, MI · On-site +1

$95K - $98K/yr

Remote - United States Work Hours: EST hours Employment: Full-Time Geographic Restrictions ... S We are seeking an experienced Facets Analyst with strong expertise in Facets claims processing ...

Great American Insurance Group

$69K - $92K/yr

Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee. #LI-Remote Job ... Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ...

CSAA

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 ...

Summit

$69K - $92K/yr

Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee. #LI-Remote Job ... Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ...

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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 are popular job titles related to Remote Dental Claims Processing jobs in Michigan?

For Remote Dental Claims Processing jobs in Michigan, the most frequently searched job titles are:

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

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

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

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

Remote Dental Claims Processing jobs near you
Infographic showing various Remote Dental Claims Processing job openings in Michigan as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 15% Part Time, 2% Temporary, 6% Contract, and 1% Nights. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution.

Government Programs Professional Review Claims Specialist

Delta Dental of Michigan

Okemos, MI • Remote

Full-time

Medical, Dental

Posted 6 days ago

Job description

Job Title:

Government Programs Professional Review Claims Specialist

Number of Positions:

5

Location:

Okemos, MI

Location Specifics:

Fully Remote

Job Summary:

Candidates must reside in Michigan within a reasonable commuting distance of our Okemos, MI office for team meetings, collaborative sessions, and training.

At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.


At Delta Dental, we celebrate our All In culture. It's a mindset, feeling and attitude we wrap around all that we do - from taking charge of our careers, to helping colleagues and lending a hand in the community.

Position Description:

To analyze and adjudicate dental claims with complicated treatment plans to ensure accurate benefits administration.

Primary Job Responsibilities:

  • Analyzes and processes dental claims so appropriate determinations can be finalized with correct procedures, policies, and bypasses; adjudicates claims, and maintains claim records.
  • Administers claim processing guidelines/standards, Delta USA processing policies, group contracts, provider agreements, and state laws applicable to claims adjudication.
  • Investigates difficult provider reconsideration requests, makes determinations, performs or coordinates adjustments; prepares claims for a second and/or third opinion when necessary and consults with contracted dentists on questionable treatment cases.
  • Pre and post-screens claims and/or inquiries for dental consultant(s); reviews and prepares claims for and coordinates external dental consultant activities.
  • Provides dental expertise and/or interpretation of dental policies, procedures codes, and processing guidelines to internal and external contacts.
  • Organizes, creates, and performs defined test cases on claims processing system, and documents/reports status of testing including recommendations for improvements. Analyzes and compiles information/data for reports to control and/or monitor claims inventory.
  • Researches, coordinates, and adjudicates Third Party Liability claims and recoveries; compares member information, prepares claims, and performs adjustments as necessary to ensure proper Third Party Liability (COB) adjudication.

Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

#LI-Remote

Minimum Requirements:

Position requires an associate's degree, technical, vocational, or business school with coursework related to dentistry, two years of experience in chair side assisting, and a RDA or RDH licensure. Will accept any suitable combination of education, training, or experience.

Position requires advanced knowledge of dental terminology and dental procedures and the ability to read and interpret radiographs, electronic images and photos; experience working with word processing and spreadsheet software; effective verbal and written communication skills; ability to resolve complex problems and use independent judgment; experience with provider system; client contracts and Roosevelt is preferred.

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.

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