Dental Billing Specialist VA

A dental billing specialist who submits clean claims with the right CDT codes and attachments, works denials and posts payments in your practice management system. Your collections improve and your front desk stays focused on patients.

Description

A Dental Billing Specialist VA manages dental claims, benefit verification, denial follow-up and payment posting using the appropriate CDT codes and supporting documentation. They can also obtain pre-authorisations, manage insurance ageing and handle patient balances. Outsource Teams provides top 1% vetted talent with dental billing experience, no lock-in contracts and a replacement guarantee, helping dental practices keep revenue-cycle work away from the front desk.

Responsibilities

  • Submit dental claims daily with correct CDT codes, tooth numbers, surfaces, narratives and attachments such as x-rays and perio charts.
  • Verify dental benefits, frequency limits, waiting periods, downgrades and annual maximums so treatment estimates are accurate.
  • Obtain pre-determinations and pre-authorisations for major and orthodontic treatment.
  • Work the outstanding claims report weekly, following up on claims over 30 days and correcting and resubmitting rejections.
  • Appeal denials with the supporting clinical narrative and documentation from the treating dentist.
  • Post insurance and patient payments, adjustments and write-offs and reconcile daily deposits.
  • Send patient statements, explain balances and set up payment plans in line with the practice's financial policy.
  • Coordinate medical cross-coding where dental procedures are billable to medical insurance.
  • Report monthly on collections, outstanding insurance AR, denial reasons and adjustment trends to the practice owner.
  • Maintain HIPAA compliance and secure handling of patient and payment information.

Software & Tools

Dentrix Eaglesoft Open Dental Dental4Windows Microsoft Excel

Requirements

  • At least 5 years of dental billing and insurance coordination experience in a general or specialty dental practice or dental billing company.
  • Expert in CDT coding, dental claim attachments and PPO fee schedules, with medical cross-coding experience a plus.
  • Proficient with practice management systems such as Dentrix, Eaglesoft, Open Dental or Curve, plus clearinghouses like DentalXChange or Vyne.
  • Strong understanding of dental plan structures, including frequency limits, downgrades, missing-tooth clauses and coordination of benefits.
  • Friendly, clear spoken English for payer calls and patient billing conversations, and accurate written narratives for appeals.
  • Proven ability to reduce insurance AR over 90 days, with figures you can share.
  • HIPAA training completed.
  • Reliable high-speed internet and backup power, working the practice's US or Australian business hours.

Frequently Asked Questions

What billing work can they manage?

They can submit dental claims, verify benefits, obtain pre-authorisations, work rejections and denials, post payments and manage patient balances.

Can they prepare supporting claim documentation?

Yes. They can include narratives, x-rays, perio charts and other required attachments with claims and appeals.

What systems can they use?

They can work with Dentrix, Eaglesoft, Open Dental, Dental4Windows and Microsoft Excel.

How experienced are the candidates?

Candidates are expected to have at least five years of dental billing and insurance coordination experience.

How much does it cost?

Rates are listed in USD at $7 per hour for entry-level talent, $9 per hour for intermediate and $12 per hour for senior talent. Both full-time and part-time options are available.

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