Claims Coordinator

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Lightwave Dental

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2016

🏥 Healthcare

🤝 B2B

💼 Consulting

Healthcare • B2B • Consulting

Lightwave Dental is a dentist-owned Dental Leadership Organization (DLO) that provides non-clinical practice management services and partnership solutions to private dental practices. It helps dentists at all career stages—early-career associates seeking guaranteed pay and mentorship, entrepreneurial doctors growing groups, and retiring owners—by offering recruiting, revenue cycle management, human resources, marketing, IT and business analytics, and other back-office services while preserving clinical autonomy and practice culture. Lightwave emphasizes a people-first, collaborative culture, claims 100+ locations, high doctor retention, and metrics such as a 4. 83-star rating and strong employee NPS.

📋 Description

• Ensure accurate and timely filing of dental claims for assigned offices • Review Accounts Receivable reports and follow up on outstanding insurance claims and balances • Review clinical notes, x-rays, and account ledgers for cohesive information • Create and submit electronic and paper claims with required attachments, including orthodontic claims • Send claims through the clearinghouse and manage invalid and rejected claims • Send claims within 48 hours of the date of service • Report account and claim issues to dental offices or designated team members and track required corrections • File corrected claims triaged from the AR Specialist • Contact insurance companies regarding claim issues and non-payments • Complete appeals and insurance company requests • Review returned EOBs, including denials, missing information, attachments, corrected claims, and retractions • Track outstanding insurance balances by category and report completion to the OM • Participate in special projects and assigned tasks • Cover for other Claims/AR Coordinators as needed • Assist with and conduct training for new CBO team members • Attend and contribute to monthly meetings • Report grievances or issues to CBO-RCM

🎯 Requirements

• Previous experience in dental office administration, dental billing, or insurance claims processing is highly beneficial • Experience in medical claims processing may also be considered • Familiarity with dental terminology and procedures • Understanding of dental insurance policies, coverage limitations, and claim submission procedures • Knowledge of common insurance codes, including CDT codes, and ADA dental claim forms • Detail-oriented claim review and discrepancy identification • Strong verbal and written communication skills • Ability to manage and prioritize multiple tasks • Proficiency with dental practice management software and other computer applications used for claim processing and administrative tasks • Good customer service skills for handling billing and insurance inquiries • Ability to troubleshoot claim-processing issues, billing errors, and insurance coverage discrepancies • Knowledge of and adherence to HIPAA and legal and ethical billing guidelines