Dental Claims Approver II

Location: Work from home in Pennsylvania; candidates must be legally authorized to work in the United States without employer sponsorship. The department operates from 6:00 AM EST to 9:00 PM EST. Training start times are scheduled between 6:00 AM PST and 8:00 AM PST.

Salary: Starting pay of $16.83 per hour, with a 3% annual bonus target. Annual base salary range: $31,660–$47,485.

Company

hirify.global provides insurance products and services, including group dental insurance and claims support.

What you will do

• Review and process dental claims that cannot be processed automatically by the mainframe system.
• Apply state laws when processing initial claims and appeals.
• Refer claims to consulting dentists to determine treatment necessity.
• Investigate and respond to written appeals, inquiries, and complaints.
• Follow up on claims requiring additional information or pending system action.
• Meet productivity and quality goals while working 40 hours per week and supporting peak-season overtime when needed.

Requirements

• Ability to process data from entered, scanned, and electronically submitted dental claims.
• Analytical, mathematical, organizational, problem-solving, and relationship-building skills.
• Strong oral and written communication skills and the ability to interact effectively with internal and external customers.
• Ability to work independently in a remote environment, learn new skills quickly, and make routine decisions using sound judgment.
• Proficient PC navigation skills, including mainframe systems, with dependable attendance and willingness to work overtime.
• Must be legally authorized to work in the United States without current or future employer sponsorship.

Culture & Benefits

• Structured onboarding and progressive training in insurance policies, business writing, and claims processing.
• Opportunities for skill building, leadership development, and career growth.
• Supportive, flexible, and inclusive resources focused on professional and personal well-being.
• Benefits are available to eligible full-time employees.
• Work is remote and does not require customer-service call center or phone duties.