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Overview Optimum Dental Support Services is seeking a detail-oriented and experienced Dental Insurance & Claims Specialist to join our growing team. This fully remote position will begin at approximately 25-30 hours per week, with strong potential to transition into a full-time role within the next year.
In this role, you will leverage your expertise in insurance verification, dental coding, and claims management to support multi-site dental practices and ensure accurate, efficient billing processes. The ideal candidate is focused, dedicated, and highly organized, with a strong attention to detail and a commitment to delivering exceptional service while helping practices navigate insurance processes and improve collections.
Responsibilities
Verify dental insurance benefits accurately and thoroughly
Ensure insurance plans are correctly built within practice management software
Document detailed insurance breakdowns within each patient chart
Submit prior authorizations to commercial insurance plans and Medicaid
Maintain and manage the Prior Authorization tracking log
Communicate approvals and denials to supported offices in a timely manner
Submit dental insurance claims accurately and efficiently
Identify and attach appropriate supporting documentation (e.g., radiographs, narratives, periodontal charting) when submitting claims to support claim adjudication and reduce denials
Review Explanation of Benefits (EOBs) to identify underpayments or claim discrepancies and assist with appeals or corrections when necessary
Assist with insurance credentialing and provider enrollment activities as needed
Assist with follow-up and resolution of aging insurance claims
Provide insurance and claims support for multi-site dental practices
Qualifications
Minimum 2 years of dental insurance and claims experience required
Strong understanding of traditional insurance and Medicaid processes
Experience with prior authorizations and insurance verification
Experience working aging insurance claims
Curve Dental experience preferred but not required
Highly organized with strong attention to detail
Self-motivated and dedicated to working remotely
Ability to manage workload independently and meet deadlines
Proven clerical experience with strong organizational skills to manage multiple claims and documentation tasks simultaneously.
Proficiency with Microsoft Excel, including the ability to track, organize, and manage insurance claims or prior authorization data
Excellent communication skills for liaising with healthcare providers, insurance representatives, and patients when necessary.
Ability to maintain HIPAA compliance and protect patient confidentiality, including working in a secure, private workspace with a password-protected network
Ability to work consistent daytime hours (day shift) in a remote environment
Ability to attend and participate in weekly team meetings with management
Ability to maintain a quiet, professional, and distraction-free remote workspace during scheduled working hours
Must successfully pass a background check as a condition of employment
Position Details
Approximately 30 hours per week
Fully remote position
Opportunity to transition to full-time within 12 months based on performance and business growth
Compensation based on experience
Confidentiality & Compliance
This position involves access to protected health information (PHI). All team members are expected to strictly adhere to HIPAA regulations and company privacy policies while maintaining a secure remote work environment that protects patient and practice data.
What We're Looking For
We are seeking someone who takes pride in accuracy, understands the impact insurance workflows have on revenue cycle performance, and can help keep prior authorizations and claims organized and moving efficiently.
If you meet the qualifications and are ready to grow with a supportive and collaborative team, we encourage you to apply.
Join us in delivering exceptional support to dental practices and helping improve the financial health of the offices we serve.
