Dental Claims Coordinator
Company: Astiva Health, Inc
Location: Orange
Posted on: February 26, 2026
|
|
|
Job Description:
Job Description About Us: Astiva Health, Inc., located in
Orange, CA is a premier healthcare provider specializing in
Medicare and HMO services. With a focus on delivering comprehensive
care tailored to the needs of our diverse community, we prioritize
accessibility, affordability, and quality in all aspects of our
services. Join us in our mission to transform healthcare delivery
and make a meaningful difference in the lives of our members.
SUMMARY: Astiva Health is seeking a full-time Claims Department
staff member dedicated to dental affairs. This role supports
accurate, timely dental claims processing, provider education,
utilization review support, and dental grievance coordination. The
position plays a key role in improving turnaround time, compliance,
and provider experience for dental services. ESSENTIAL DUTIES AND
RESPONSIBILITIES include the following: Process and review dental
paper claims for completeness and accuracy Request missing
documentation (e.g., X-rays, narratives, periodontal charting) to
ensure timely claims adjudication Assist providers in submitting
clean claims and complete authorization requests Educate dental
providers and office staff on proper use of the Astiva Health
online portal Serve as a point of contact for common dental claims
and portal-related questions Preview of dental authorization
request submissions on the provider portal Identify red flags and
utilization trends (e.g., high-frequency procedures, unusual
billing patterns) Assist with basic trend analysis and reporting
for dental claims activity Serve as the dental grievance
coordinator Dental Office Audit Support Regular and consistent
attendance Other duties as assigned QUALIFICATION REQUIREMENTS : To
perform this job successfully, an individual must be able to
perform each essential duty satisfactorily, including regular and
consistent attendance. The requirements listed below are
representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions. EDUCATION and/or
EXPERIENCE : 4 year college degree or equivalent Experience in
dental claims processing, dental billing, or dental office
administration preferred Familiarity with CDT codes, dental
documentation requirements, and dental prior authorizations
Experience working with payer portals or dental practice management
systems preferred Strong organizational, communication, and
follow-up skills Detail-oriented with ability to identify trends
and discrepancies Medicare Advantage or managed care experience a
plus Detail-oriented with ability to identify trends and
discrepancies OTHER SKILLS and ABILITIES: Excel and Word BENEFITS:
Free Catered Lunches everyday 401(k) Dental Insurance Health
Insurance Life Insurance Vision Insurance Paid Time Off
Keywords: Astiva Health, Inc, La Habra , Dental Claims Coordinator, Healthcare , Orange, California
