Dental Claims Resolution Specialist I (Remote)
We are seeking a detail-oriented Dental Claims Resolution Specialist I to support the processing and resolution of dental claims for veterans. In this role, you will review claim submissions, perform data entry, research discrepancies, and ensure claims are processed accurately and in compliance with program guidelines.
Key Responsibilities:

• Enter and process dental claims received via paper, fax, portal, and other non-electronic methods
• Review claim information for accuracy and resolve data entry or processing issues
• Respond to claim-related correspondence and inquiries
• Assist with claim tracking, reporting, and issue resolution
• Research and resolve claim discrepancies using critical thinking and problem-solving skills
• Maintain accurate documentation and ensure compliance with HIPAA and privacy requirements
• Collaborate with internal teams to support timely claim resolution

Qualifications:

• 3+ years of claims processing, healthcare administration, or related experience
• Strong computer skills, including Microsoft Office
• Excellent communication and organizational skills
• Ability to work independently in a fast-paced remote environment
• Strong attention to detail and problem-solving abilities
• Must be located in the Eastern or Central Time Zone and able to work scheduled business hours

Preferred Qualifications:

• Dental or medical claims processing experience
• Dental office, dental assisting, or healthcare background
• Medical or dental coding experience
• Call center or customer service experience in a healthcare setting

Location: Fully Remote (U.S.-based; Eastern or Central Time Zone required)
Schedule: Full-time, hours to be provided.Dental Claims Resolution Specialist I (Remote)
We are seeking a detail-oriented Dental Claims Resolution Specialist I to support the processing and resolution of dental claims for veterans. In this role, you will review claim submissions, perform data entry, research discrepancies, and ensure claims are processed accurately and in compliance with program guidelines.
Key Responsibilities:

• Enter and process dental claims received via paper, fax, portal, and other non-electronic methods
• Review claim information for accuracy and resolve data entry or processing issues
• Respond to claim-related correspondence and inquiries
• Assist with claim tracking, reporting, and issue resolution
• Research and resolve claim discrepancies using critical thinking and problem-solving skills
• Maintain accurate documentation and ensure compliance with HIPAA and privacy requirements
• Collaborate with internal teams to support timely claim resolution

Qualifications:

• 3+ years of claims processing, healthcare administration, or related experience
• Strong computer skills, including Microsoft Office
• Excellent communication and organizational skills
• Ability to work independently in a fast-paced remote environment
• Strong attention to detail and problem-solving abilities
• Must be located in the Eastern or Central Time Zone and able to work scheduled business hours

Preferred Qualifications:

• Dental or medical claims processing experience
• Dental office, dental assisting, or healthcare background
• Medical or dental coding experience
• Call center or customer service experience in a healthcare setting

Location: Fully Remote (U.S.-based; Eastern or Central Time Zone required)
Schedule: Full-time, hours to be provided.

Pay Rate Range: $22.00 - $26.00
Pay Rate is dependent on seniority and other factors that will be discussed during the hiring process