Dental Claims Processing Specialist

🔥 1 minute ago

🇵🇭 Philippines – Remote

💵 $5.2k - $6.2k / year

⏱ Part Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 14%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Winning Assistants LLC

WebsiteLinkedInAll Job Openings

51 - 200 employees

💼 Consulting

📣 Marketing

📦 Logistics

Consulting • Marketing • Logistics

Winning Assistants LLC is a staffing and recruiting company that provides virtual assistants from the top 1% of the global talent pool. They specialize in helping doctors, healthcare professionals, and business owners save time, reduce costs, and scale operations with highly skilled, HIPAA-compliant virtual assistants. Their services include admin support, medical office management, marketing, and customer service, allowing clients to focus on growth.

📋 Description

• Independently manage end-to-end processing, preparation, review, and submission of dental insurance claims. • Review claims for errors, missing information, and documentation discrepancies. • Investigate denied, rejected, or unpaid claims and prepare corrections or appeals. • Follow up on claims until resolution. • Prepare and submit clinical documentation, claim attachments, treatment narratives, and other required information. • Perform daily claim reconciliation and identify discrepancies requiring corrective action. • Monitor outstanding and pending claims and conduct status follow-ups approximately every 30 days. • Use insurance portals and electronic claim management systems to verify statuses and track submissions. • Communicate with insurance representatives by phone when clarification or assistance is required. • Maintain organized records of submissions, denials, appeals, follow-ups, and resolutions in the practice management system. • Collaborate with the office manager on complex insurance concerns and claim discrepancies. • Identify recurring claim issues and recommend workflow improvements.

🎯 Requirements

• At latest 1 year of hands-on experience in dental insurance billing, claims processing, submissions, denials, and appeals is required. • Strong knowledge of dental insurance procedures, claim reconciliation, and follow-up processes. • Ability to independently manage end-to-end dental claims processing with minimal supervision. • Excellent attention to detail, organizational skills, and problem-solving abilities. • Strong written and verbal English communication skills. • Experience using Open Dental practice management software is strongly preferred. • Familiarity with dental insurance portals and electronic claims submission systems. • Experience preparing dental claim attachments, supporting documentation, and treatment narratives. • Must speak and write English clearly and professionally. • Must have relevant work experience. • Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory). • Must be available to attend video meetings with camera on when required. • Reliable laptop or desktop computer. • Stable high-speed internet connection (minimum 25 Mbps). • Noise-canceling headset. • Working webcam for virtual meetings. • Quiet and professional work environment.

🏖️ Benefits

• Dedicated HR & Contractor Support Team • Premium VPN Access (Optional) • HIPAA & Cybersecurity Training + Certification (Provided) • Top 1% VA Performance Training • Client-Approved U.S. Holidays • Client-Approved Paid or Unpaid Time Off • Access to Tools & Resources • Optional Performance-Based Incentives • Optional contractor perks and client-approved allowances