Dental Claims Resolution Specialist - TEMP

MPF Federal

1d•$17•Remote

About The Position

The Dental Claims Resolution Specialist I is responsible for entering and processing dental claims in the claims system. This role requires attention to detail, strong problem-solving skills, and the ability to follow established guidelines to ensure claims are processed accurately and on time. You will review claim submissions, enter claim information into the system, identify errors or missing information, and help ensure claims move through the process efficiently.

Requirements

At least 3 years of claims processing or related experience (dental experience preferred)
Strong attention to detail and problem-solving skills
Proficiency with Microsoft Office (Excel, Word, Outlook)
Ability to work independently and as part of a team
Strong written and verbal communication skills
Ability to manage multiple tasks and adapt to changing priorities

Nice To Haves

Dental claims processing experience
Dental office or dental assisting background
Associate degree in Business Administration or a related field
Dental or medical coding experience
Healthcare or medical call center experience

Responsibilities

Enter dental claim information into the claims processing system from paper, portal, or fax submissions
Review claims for accuracy and correct OCR or data entry errors
Monitor and respond to questions from the claims email queue
Assist with resolving claims that fail electronic processing (EDI errors)
Track claims issues using spreadsheets to ensure claims are processed within required timelines
Research and resolve moderately complex claims issues
Follow the full claim lifecycle to ensure claims are processed and resolved properly
Communicate with internal teams to resolve claim issues when needed