Job Overview We are seeking an experienced Dental Billing Specialist to support our growing Revenue Cycle Management (RCM) operations. The role is fully remote and involves working with multiple dental practices across different practice management systems and clearinghouses. The ideal candidate understands dental insurance billing, claims management, and payment posting, and is comfortable navigating various dental software platforms.

Responsibilities

Insurance & Claims

• Prepare and submit dental insurance claims accurately and in a timely manner
• Review clinical notes and procedures to ensure proper coding before claim submission
• Submit claims through multiple clearinghouses
• Monitor claim status and follow up on unpaid or denied claims

Insurance Verification

• Verify patient insurance eligibility and benefits
• Identify frequency limitations (exam, prophy, x-rays, fluoride, etc.)
• Communicate coverage limitations to the office or team when necessary

Accounts Receivable

• Track and manage insurance aging reports
• Follow up with insurance carriers on outstanding claims
• Resolve claim rejections, denials, and requests for additional information

Payment Posting

• Post insurance payments (ERA/EOB) accurately
• Apply adjustments according to payer contracts
• Reconcile patient balances after insurance processing

Coordination with Offices

• Work with multiple dental offices to clarify documentation and procedures
• Maintain organized communication regarding claims, authorizations, and billing questi
• Insurance & Claims
• Prepare and submit dental insurance claims accurately and in a timely manner

Insurance Verification

• Verify patient insurance eligibility and benefits
• Identify frequency limitations (exam, prophy, x-rays, fluoride, etc.)
• Communicate coverage limitations to the office or team when necessary

Accounts Receivable

• Track and manage insurance aging reports
• Follow up with insurance carriers on outstanding claims
• Resolve claim rejections, denials, and requests for additional information

Payment Posting

• Post insurance payments (ERA/EOB) accurately
• Apply adjustments according to payer contracts
• Reconcile patient balances after insurance processing

Coordination with Offices

• Work with multiple dental offices to clarify documentation and procedures
• Maintain organized communication regarding claims, authorizations, and billing questi
• Review clinical notes and procedures to ensure proper coding before claim submission
• Submit claims through multiple clearinghouses
• Monitor claim status and follow up on unpaid or denied claims

Requirements

• Prior dental billing experience required (minimum 1–2 years preferred)
• Strong knowledge of dental CDT codes and insurance processes
• Experience with dental practice management software (examples may include Fuse, Dentrix, Eaglesoft, Open Dental, etc.)
• Familiarity with dental clearinghouses (e.g., DentalXChange, Change Healthcare, Vyne, etc.)
• Ability to review clinical notes and match them with appropriate billing codes
• Strong attention to detail and organization
• Ability to work independently in a remote environment

Pay: $20.00 - $25.00 per hour Benefits:

• Health insurance
• Paid time off
• Vision insurance

Education:

• Bachelor's (Preferred)

Experience:

• Dental Billing: 1 year (Preferred)

Shift availability:

• Day Shift (Preferred)
• Night Shift (Preferred)

Work Location: Remote