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Dental Claims Processing Representative 2 (contract)
This job posting is for a temporary contractor role as an employee of Atrium assigned to work at Humana. The Dental Claims Processing Representative 2 is responsible for reviewing, adjudicating, and making determinations on complex and specialty claims, received either on paper or electronically, in accordance with organizational policies and procedures. This is a production-focused role with clearly defined quality and productivity metrics that must be met.
The representative interprets departmental policies to decide whether claims should be returned, denied, or paid, and performs a variety of moderately complex administrative, operational, and customer support activities, including calculations and semi-routine tasks.
Working within defined parameters, the Dental Claims Processing Representative 2 exercises some discretion in prioritizing and timing assignments, operating under minimal direction. While standard policies and practices guide most decisions, there is opportunity for interpretation and independent judgment to ensure accuracy and compliance. Consistent achievement of high-quality outcomes is expected in alignment with Humana’s values and performance standards.
Required Qualifications
- High school diploma or GED equivalent.
- Demonstrated strong attention to detail.
- Effective written and verbal communication skills.
- Strong analytical and problem-solving abilities.
- Proficiency in Microsoft Office applications, including Word and Excel.
- 1–2 years of relevant technical experience.
- Bachelor’s degree from an accredited institution.
- Previous experience in dental insurance or working in a dental office setting.
- Comprehensive understanding of American Dental Association (ADA) codes.
- Demonstrated customer service experience, preferably in a healthcare or insurance environment.
The actual pay rate will be based on a number of factors, including skills, competencies, experience, location and/or being pursued and other job-related factors permitted by law. In addition, this role will be eligible for overtime pay, in accordance with federal and state requirements. Humana Inc. and its subsidiaries comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, ancestry, age, disability, sex,
marital status, gender, sexual orientation, gender identity, or religion. Humana Inc. and its subsidiaries do not exclude people or treat them differently because of race, color, national origin, ancestry, age,
disability, sex, marital status, gender, sexual orientation, gender identity, or religion.
Benefits Information Comprehensive Benefits Package available based on eligibility
- Medical, Dental, Vision
- Short-Term Disability (STD)
- Long-Term Disability (LTD)
- Supplemental and Voluntary Life Insurance
- 401(K)
- Commuter Benefit Program
