Kansas Licensed Dental Benefits Specialist

The full-time remote Kansas Licensed Dental Benefits Specialist will manage second-level appeal documentation, coordinate clinical reviews between third-party administrators and vendors, and conduct post-payment claims audits while serving as an internal dental subject matter expert. Key responsibilities Ensure accuracy and completeness of second-level appeal documentation and manage clinical review processes Conduct post-payment claims audits to identify overpayments and billing errors while preparing detailed audit findings reports Provide expert guidance on dental benefit interpretation, coding, and claims accuracy to internal teams and external partners Required qualifications Associate's or Bachelor's degree in Dental Hygiene, Health Administration, or a related field preferred Minimum of 5 years of experience in dental claims review or dental benefits administration Dental clinical training, certification, or licensure (RDH or equivalent) strongly preferred Advanced expertise in dental benefit administration and CDT coding Experience conducting claim audits and coordinating clinical reviews in a dental insurance setting