Dental Biller

Dental Biller (US Dental Client)

Position Summary:

The Dental Biller is responsible for managing the full dental revenue cycle for US-based dental practices.

This includes insurance eligibility verification, pre-authorizations, claim submission, denial management,

appeals, and patient collections. The role focuses on maximizing reimbursement, reducing accounts

receivable days,and ensuring compliance with US dental insurance regulations and HIPAA standards.

Key Responsibilities:

• Verify patient eligibility and benefits with US dental insurance carriers prior to services.
• Obtain and track pre-authorizations for dental procedures as required by insurance plans.
• Accurately prepare and submit dental claims (electronic and paper).
• Attach required supporting documentation including x-rays, narratives, perio charts, and clinical
• notes.
• Monitor claim status and proactively follow up on unpaid, rejected, or delayed claims.
• Review Explanation of Benefits (EOBs) and identify underpayments or denials.
• Manage denial resolution including corrections, resubmissions, and formal appeals.
• Prepare and submit appeals with appropriate documentation when claims are improperly denied.
• Post insurance payments and contractual adjustments accurately in the practice management
• system.
• Communicate professionally with insurance carriers regarding claim discrepancies and payment
• issues.
• Coordinate with front desk and clinical teams to ensure proper documentation for billing
• compliance.
• Handle patient billing inquiries and assist with patient collections when applicable.
• Generate aging reports and provide AR updates to management.

Qualifications

• 3-5+ years of US dental billing experience preferred.
• Strong knowledge of CDT coding and US dental insurance billing processes.
• Experience with dental practice management systems (Dentrix, Dental Exchange).
• Ability to interpret EOBs and manage complex denial scenarios.
• Strong attention to detail and organizational skills.
• Familiarity with HIPAA and US healthcare compliance standards.
• Strong communication and follow-up skills with payers and patients