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Remote Dental Claims Processing Jobs in Renton, WA

Port Gamble S'Klallam Tribe

Billing Specialist

Kingston, WA · On-site +1

$24.81 - $33.49/hr

They audit, analyze, edit, and process medical insurance claims, monitor A/R, and ensure billing ... Remote Work: * This position is eligible for alternative scheduling. The schedule must be discussed ...

Saltchuk

Risk Management Specialist

Seattle, WA · On-site +1

$85K - $100K/yr

Process TPA Reconciliations and Invoices * Marine Claims-SIR Reports - monthly approvals and report ... Employer-subsidized medical, dental, and vision coverage for you and your family/dependents

University of Washington

Dental Assistant 2

Seattle, WA · On-site +1

$60K/yr

Expose and process dental x-ray film * Give fluoride treatments * Teach oral hygiene and prosthesis ... remote), partial dentures, routine extractions, and implant placement. Compensation, Benefits and ...

Trueline

Senior Litigation Attorney (Remote)

Seattle, WA · Remote

$175K - $220K/yr

Court of Federal Claims experience * Washington, DC Bar admission * Additional East Coast bar ... Comprehensive medical, dental, and vision insurance * Flexible Spending Account (FSA) * 401(k) with ...

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Remote Dental Claims Processing information

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$17

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

As of Aug 22, 2026, the average hourly pay for remote dental claims processing in Renton, WA is $21.53, according to ZipRecruiter salary data. Most workers in this role earn between $19.47 and $23.51 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 are popular job titles related to Remote Dental Claims Processing jobs in Renton, WA?

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

What job categories do people searching Remote Dental Claims Processing jobs in Renton, WA look for?

The top searched job categories for Remote Dental Claims Processing jobs in Renton, WA are:

What cities near Renton, WA are hiring for Remote Dental Claims Processing jobs?

Cities near Renton, WA 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 Renton, WA as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $44,781 per year, or $21.5 per hour.

Clinical Pharmacy Technician Sr - Medi-Cal Rx (Remote California)

Prime Therapeutics

Home, WA • Remote

$19.23 - $28.85/hr

Full-time

Posted 15 days ago

Prime Therapeutics rating

7.9

Company rating: 7.9 out of 10

Based on 48 frontline employees who took The Breakroom Quiz

16th of 113 rated pharmacies

Job description

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

Job Posting TitleClinical Pharmacy Technician Sr - Medi-Cal Rx (Remote California)Job Description

The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits, and claims using established clinical criteria. This role serves as a technical resource to team members, supports resolution of non-routine cases, and identifies opportunities to improve workflow efficiency.

Responsibilities

  • Independently review, research, and resolve prior authorization requests by applying clinical criteria, established guidelines, and professional judgment within defined protocols
  • Communicate coverage determinations, formulary alternatives, and prior authorization requirements to providers and internal stakeholders, ensuring clarity and accuracy in non-routine scenarios
  • Manage inbound and outbound inquiries related to eligibility, benefits, claims, and prior authorizations, resolving moderately complex issues and determining appropriate next steps
  • Escalate clinically complex or exception-based cases to a pharmacist, providing thorough documentation and relevant case context to support timely resolution
  • Educate providers and members on claims submission processes, appeals requirements, and reimbursement guidelines across multiple networks
  • Initiates, prioritize, and manage cases by accurately gathering and entering member and provider information
  • Identify trends, root causes, high-risk inquiries, and workflow gaps in daily operations and recommend process improvements to enhance efficiency, quality, and consistency
  • Serve as a resource to team members by providing guidance, answering process questions, and supporting onboarding activities
  • Other duties as assigned

Minimum Qualifications

  • High school diploma from an accredited school or equivalent GED
  • 2 years of work experience as a pharmacy technician
  • Licensed Pharmacy Technician in accordance with California state requirements

Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

  • Strong knowledge of pharmacy workflows, terminology, and reimbursement processes
  • Ability to prioritize work and manage multiple assignments in a dynamic environment
  • Effective communication skills with the ability to guide and support team members
  • Proficiency in pharmacy systems and Microsoft Office applications

Preferred Qualifications

  • 1 year reimbursement experience
  • PBM or health care experience

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job

Potential pay for this position ranges from $19.23 - $28.85 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).

Prime Therapeutics LLCis proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

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About Prime Therapeutics

Sourced by ZipRecruiter

Prime Therapeutics, located in Eagan, MN, is a pharmacy benefits management company that has been serving the healthcare industry since its foundation. They are an integral participant in the medical sector, specifically in the realm of health insurance. They focus on providing innovative pharmacy benefits and services to more than 30 million members nationwide. Besides their main pharmacy benefit management, they offer mail service pharmacy, specialty pharmacy, benefits management, and consultative engagement services to ensure individuals have continuous access to affordable prescription drugs. Prime Therapeutics, founded around three decades ago, has grown to stand out as a leader in its industry, thanks to its commitment to improving the health of its clients.

Industry

Insurance services

Company size

1,001 - 5,000 Employees

Headquarters location

Eagan, MN, US

Year founded

1987

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