Dental Claims Approver

Job Summary

A company is looking for a Dental Claims Approver II, a fully remote position focused on high-quality claim management.

Key Responsibilities

• Apply state laws to the processing of initial claims and appeals
• Refer claims to consulting dentists to determine necessity of treatment
• Investigate and respond to written appeals, inquiries, and complaints

Required Qualifications

• Ability to process data entered, scanned, and electronically submitted dental claims
• Strong analytical and organizational skills
• Proficient PC skills, including mainframe systems
• Ability to work well independently and meet departmental goals
• Willingness to work overtime when requested