Dental Billing Specialist Reports to:

Director of RCM & Insurance Credentialing FLSA Status:

Non-Exempt Schedule:

Full-Time | Monday-Friday | 8:00 AM-5:00

PM Pay:

$24+/hour, based on experience About Us Progressive Dental Concepts is a growing multi-office dental group committed to providing exceptional patient care while maintaining efficient, well-organized business operations. Our Revenue Cycle Management (RCM) team supports our practices by ensuring accurate billing, timely insurance reimbursement, and effective account management. We are seeking an experienced Dental Billing Specialist who is detail-oriented, organized, and skilled at resolving billing and insurance issues. The ideal candidate takes ownership of their work, follows accounts through resolution, and works effectively both independently and as part of a collaborative team. Position Summary The Dental Billing Specialist is responsible for managing key components of the revenue cycle for assigned practice locations, including clean claim submission, insurance follow-up, payment posting, denials and appeals, insurance accounts receivable, account reconciliation, credits, and refunds. This position works closely with dental office teams and the RCM department to resolve billing issues, maintain accurate accounts, and support timely reimbursement. The successful candidate is proactive, organized, able to manage multiple priorities while maintaining a high level of accuracy, and follows established RCM systems, workflows, and processes. Essential Responsibilities Dental Insurance Billing & Claims Management Review claims prior to submission to ensure they are clean, accurate, and supported by required clinical documentation and attachments. Submit dental insurance claims and required attachments through Vyne Trellis and other payer submission methods as needed. Identify missing or incomplete claim information, documentation, or attachments and communicate required corrections to the appropriate office team. Research and resolve rejected, denied, delayed, and outstanding claims using payer portals, Vyne Trellis, and other available resources. Maintain consistent follow-up on insurance aging and outstanding claims to support timely reimbursement. Prepare, submit, and track corrected claims, reconsiderations, and appeals. Submit and follow up on secondary and tertiary claims. Review EOBs, payer responses, claim history, and supporting documentation to determine appropriate next steps. Document claim status, follow-up activity, and resolution clearly in the practice management system. Insurance Payment & Account Management Accurately post insurance payments, contractual adjustments, write-offs, and other account activity. Review coordination of benefits and ensure insurance payments are allocated appropriately. Reconcile insurance EFT totals to the practice management system and research discrepancies. Audit patient and family accounts for accuracy and resolve account discrepancies. Allocate and transfer funds as needed. Review and resolve insurance overpayments and patient credit balances. Balance bill patient accounts following insurance processing when appropriate. Review and process patient and insurance refunds according to established procedures. Communicate account credits, billing concerns, and required actions to office teams. Maintain clear and accurate financial documentation within the practice management system. Reporting & Administrative Support Monitor assigned insurance accounts receivable and required billing reports. Review and reconcile billing and financial reports as assigned. Report required billing, payment, and insurance aging totals to management. Monitor and respond to billing-related tasks and communications from office teams. Maintain accurate insurance carrier, account, and billing information as needed. Serve as a resource to office teams regarding insurance claims, EOBs, account balances, credits, and billing issues. Identify recurring payer, claim, or account issues and communicate trends or opportunities for process improvement. Follow established company and RCM policies, procedures, workflows, and compliance requirements. Maintain confidentiality of patient, insurance, and financial information. Qualifications & Skills Required 2+ years of hands-on dental billing experience within a dental practice or dental group. Strong working knowledge of dental insurance claims, EOBs, insurance terminology, and claim processing. Experience reviewing and submitting dental claims, including required clinical documentation and attachments. Experience researching and resolving insurance denials, rejections, and outstanding claims. Experience with insurance accounts receivable follow-up, payment posting, and account reconciliation. Understanding of dental terminology, common dental procedures, and CDT codes. Working knowledge of deductibles, coinsurance, annual maximums, coordination of benefits, and insurance adjustments. Strong analytical and problem-solving skills with the ability to independently research issues and follow accounts through resolution. Strong attention to detail and commitment to accuracy. Excellent organizational and time-management skills with the ability to manage multiple priorities and meet deadlines. Clear and professional written and verbal communication skills. Ability to work independently while contributing effectively as part of a collaborative team. Preferred Experience with Open Dental and/or Vyne Trellis. Experience working in a centralized billing department or multi-location dental organization. Experience preparing dental insurance appeals and reconsiderations. Proficiency with Microsoft Office, including Excel, Word, and Outlook. Dental Billing Specialist certification preferred but not required.

Please note:

This is not an entry-level position. Candidates should have prior hands-on dental billing experience and be comfortable independently managing dental insurance claims, follow-up, and account resolution. Education High school diploma or GED required. Equivalent education, training, and relevant experience may be considered. What We Offer Supportive and collaborative team environment Competitive pay and benefits Ongoing training and professional development opportunities 401(k) with company matching Medical, dental, and vision insurance Flexible Spending Account (FSA) Life insurance Paid time off Opportunity to make a direct impact on the financial success of a growing dental organization Physical & Work Environment This position works primarily in a temperature-controlled office environment. The role requires the ability to sit and stand throughout the workday, use a computer and keyboard extensively, and communicate by telephone and other electronic means. The position may occasionally require lifting up to 50 pounds. Equal Opportunity Employer Progressive Dental Concepts is committed to providing a professional, respectful, and inclusive workplace where employees are valued for their contributions and have opportunities to grow. Grow with us. Make an impact. Be part of a team that cares. Apply today for immediate consideration!

Pay:

From $24.00 per hour Expected hours: 40.0 per week

Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Flexible spending account Health insurance Paid time off Professional development assistance Vision insurance

Work Location:

In person