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Remote Dental Claims Processing Jobs (NOW HIRING)

Sourcedge Solutions

FACETS Claims Processor

Albany, NY · Remote

$17 - $21.25/hr

Remote Reply at: Jobs@sourcedge.com FACETS SENIOR CLAIMS PROCESSOR * 5 Years Facets Claims Adjudication Experience * The Claims Examiner must maintain production and inventory standards compliant ...

InnovAge

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 ...

IQVIA

Medical Biller/Claims Processing

Phoenix, AZ · Remote

$23/hr

Patient SupportMedicalBillingRepresentative Contract Remote Role - Location (Open to Remote US) At ... Evaluate claims against program-specific business rules todetermineapproval or rejection.

GDIT

Claims Processing Lead - WTCHP TPA

WV · On-site +1

Remote Work Location: Any Location / Remote Additional Work Locations: Total Rewards at GDIT: Our ... dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre ...

IQVIA

Medical Biller/Claims Processing

Atlanta, GA · Remote

$23/hr

Patient SupportMedicalBillingRepresentative Contract Remote Role - Location (Open to Remote US) At ... Evaluate claims against program-specific business rules todetermineapproval or rejection.

IQVIA

Medical Biller/Claims Processing

Houston, TX · Remote

$23/hr

Patient SupportMedicalBillingRepresentative Contract Remote Role - Location (Open to Remote US) At ... Evaluate claims against program-specific business rules todetermineapproval or rejection.

IQVIA

Medical Biller/Claims Processing

Atlanta, GA · Remote

$23/hr

Patient SupportMedicalBillingRepresentative Contract Remote Role - Location (Open to Remote US) At ... Evaluate claims against program-specific business rules todetermineapproval or rejection.

IQVIA

Medical Biller/Claims Processing

Phoenix, AZ · Remote

$23/hr

Patient SupportMedicalBillingRepresentative Contract Remote Role - Location (Open to Remote US) At ... Evaluate claims against program-specific business rules todetermineapproval or rejection.

Spotter

Spotter AI is on the lookout for a dedicated and detail-oriented Claims Specialist to enhance our claims processing team. This remote position is vital in ensuring that our clients receive prompt and ...

IQVIA

Medical Biller/Claims Processing

Houston, TX · Remote

$23/hr

Patient SupportMedicalBillingRepresentative Contract Remote Role - Location (Open to Remote US) At ... Evaluate claims against program-specific business rules todetermineapproval or rejection.

Allied

Claims Repricing Specialist (Remote)

Chicago, IL · On-site +1

$20/hr

The Repricing Coordinator is responsible for re-pricing medical (CMS1500, UB04) and dental claims ... and process. It is at the Company's discretion to determine what pay is provided to a candidate ...

Premera Blue Cross

Claims Processor IV

$17.50 - $22/hr

Two (2) years of claims processing experience in medical and/or dental plans, or 2 years prior medical and/or dental office/insurance industry experience (Required). * Detailed processing knowledge ...

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Remote Dental Claims Processing information

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

As of Sep 7, 2026, the average hourly pay for remote dental claims processing 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 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.

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What cities are hiring for Remote Dental Claims Processing jobs?

Cities with the most Remote Dental Claims Processing job openings:

What states have the most Remote Dental Claims Processing jobs?

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

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Remote Dental Claims Processing jobs near you
Infographic showing various Remote Dental Claims Processing job openings in the United States as of August 2026, with employment types broken down into 94% Full Time, and 6% Contract. Highlights an 100% Remote job distribution, with an average salary of $39,812 per year, or $19.1 per hour.

Staff Dentist (Part-Time, Remote, Nevada /California License)

LIBERTY DENTAL

Las Vegas, NV • On-site, Remote

$74 - $82/hr

Part-time

Medical, Dental, Retirement, PTO

Re-posted 16 days ago

Job description

Help Shape Better Oral Health Outcomes at Liberty Dental Plan
At Liberty Dental Plan, our mission is to improve oral health by delivering high-quality, accessible, and cost-effective dental benefits. We are seeking an experienced Staff Dentist to join our clinical team and play a critical role in supporting our Utilization Management (UM) and Utilization Review (UR) programs.
This fully remote opportunity offers a consistent 20-hour-per-week schedule, allowing experienced dentists to apply their clinical expertise in a collaborative managed care environment while helping improve access to high-quality oral healthcare. You will review dental claims, prior authorizations, referrals, and treatment requests across Commercial, Marketplace Exchange, Medicare Advantage, and Medicaid populations, helping ensure members receive appropriate, evidence-based care while supporting quality outcomes and regulatory compliance.
About the Role
The Staff Dentist is responsible for performing timely, accurate, and clinically sound reviews of dental claims and service requests. Working closely with providers, dental leadership, and cross-functional teams, you will support consistent coverage determinations, quality improvement initiatives, and exceptional member experiences.
Employment Type: Part-Time, Non-Exempt
Work Arrangement: Fully Remote
Schedule: 20 hours per week
Compensation: $74.00 - $82.00 per hour
What You'll Do
Utilization Management & Clinical Review
  • Review dental claims, referrals, and prior authorization requests across multiple lines of business.
  • Apply clinical expertise to evaluate treatment plans, radiographs, chart notes, and supporting documentation.
  • Make coverage determinations based on benefit plans, clinical guidelines, medical necessity criteria, and applicable policies.
  • Meet established productivity, quality, and turnaround-time standards.
  • Document clinical rationale clearly and accurately in accordance with regulatory and accreditation requirements.
Clinical Quality & Consistency
  • Participate in calibration sessions to promote consistency and accuracy in clinical decision-making.
  • Complete inter-rater reliability assessments and support ongoing quality improvement efforts.
  • Collaborate with leadership and peers to address complex clinical scenarios and interpretation questions.
  • Incorporate audit findings and feedback to continuously enhance determination accuracy and documentation quality.
Provider Engagement & Peer Collaboration
  • Conduct peer-to-peer consultations with treating providers regarding clinical determinations and treatment alternatives.
  • Participate in grievance, appeal, and secondary review activities.
  • Consult with dental specialists and subject matter experts as needed to support informed clinical decision-making.
Regulatory & Operational Support
  • Maintain expertise in Liberty Dental Plan benefit structures and applicable Medicaid programs.
  • Support regulatory reporting and accreditation-related activities.
  • Stay current with ADA CDT coding updates, evidence-based treatment guidelines, and state-specific requirements.
  • Participate in required training programs, departmental meetings, and organizational initiatives.
What You'll Bring
Required Qualifications
  • DDS or DMD degree from an accredited dental school.
  • Current, active, and unrestricted Nevada AND California dental license in good standing.
  • Minimum of six (6) years of experience as a practicing dentist.
  • Ability to successfully complete Liberty Dental Plan credentialing and recredentialing requirements.
  • Strong knowledge of dental procedures, clinical guidelines, coding standards, and medical necessity criteria.
  • Ability to review and interpret dental radiographs, treatment plans, and chart documentation.
  • Excellent written and verbal communication skills.
  • Ability to manage review volumes efficiently while maintaining quality and compliance standards.
Preferred Qualifications
  • Experience in dental claims review, utilization management, managed care, or payer environments.
  • Experience training, coaching, or mentoring clinical peers.
  • Familiarity with claims adjudication systems and clinical review platforms.
  • Experience with AI-assisted review technologies such as Overjet or similar solutions.
  • Exposure to project management and quality improvement initiatives.
Knowledge, Skills & Abilities
  • Understanding of commercial, Medicare, Medicaid, and managed care dental programs.
  • Knowledge of reimbursement methodologies, utilization management principles, and regulatory requirements.
  • Ability to clearly communicate and support evidence-based clinical determinations.
  • Strong computer proficiency and the ability to quickly learn new technology platforms.
  • Ability to work effectively in a collaborative, team-oriented environment.
  • Commitment to maintaining all required licensure and continuing education requirements.
Why Join Liberty Dental Plan?
  • Make a meaningful impact on the oral health of diverse member populations.
  • Apply your clinical expertise in a collaborative, mission-driven organization.
  • Help drive quality, consistency, and innovation in dental utilization management.
  • Work alongside experienced dental and healthcare professionals dedicated to improving access to care.
  • Enjoy the flexibility of a fully remote position with a predictable 20-hour-per-week schedule and competitive hourly compensation.
Ready to Make an Impact?
If you are a licensed Nevada dentist passionate about clinical excellence, evidence-based decision-making, and improving oral health outcomes, we encourage you to apply today and join Liberty Dental Plan's dedicated clinical team.
Location
Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.
What Liberty Offers
Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That's why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity.
Our first-class benefits package supports employees and their dependents with:
  • Competitive pay structure and savings options to help you reach your financial goals.
  • Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.
  • Employee Assistance Program (EAP) to support mental health and well-being.
  • Generous vacation and sick leave policies, with the ability to roll over unused time.
  • Paid company holidays.
  • Remote or hybrid work options available for various positions.

Compensation
In the spirit of pay transparency, the base salary range for this position is $74.00 - $82.00 an hour, not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions.
Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth.
Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture.
Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.
We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.
Sponsorship and Relocation Specifications
Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.
No relocation assistance or sponsorship available at this time.

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