Dental Customer Care-Claims Specialist
Hybrid · Brooklyn, Ohio, United States
Job Summary
Dental Customer Care-Claims Specialist I/II role handling inbound calls from members, providers, clients, employers, and brokers while processing routine to moderately complex dental claims. Requires using multiple systems and reference tools, delivering customer service via inbound call queues and written communications (e.g., email, chat, portal inquiries). Positions may be entry-level or mid-career with growth to more complex claims, under supervision or limited supervision. Includes on-site quarterly requirements at the Brooklyn, OH location and remote work with a quarterly on-site cadence; emphasizes knowledge of dental benefits, HIPAA, and standard customer service practices, with opportunities for professional development and benefits.
Required Qualifications
- Associate’s degree in business or healthcare administration, communications or related field.
- 1 year customer service and/or claims experience, preferably in a call center in the health or dental insurance industry, or a dental providers office.
- Certified Dental Billing Specialist (CDBS), Certified Dental Coder (CDC), or Certified Dental Assistant (CDA) a plus.
- Basic Microsoft Office skills.
- Basic knowledge of dental benefits, services, terminology, and American Dental Association coding.
- Knowledge of HIPAA.
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