Dental Billing and A/R Specialist True Design Dentistry San Diego, CA Job Details Part-time $27.08 - $32.61 an hour 11 hours ago Qualifications Appeals Dental insurance Research Dental terminology Billing follow-up on outstanding patient balances Attention to detail Dentrix Medical billing and coding communication with insurance companies Medical insurance appeals management Medical explanation of benefits reviews Insurance provider collaboration Insurance claims appeal handling Medical claim status updates Full Job Description Dental Insurance Billing & A/R Specialist True Design Dentistry - San Diego, CA Part-Time | Experienced Dental Billing Professional True Design Dentistry is a growing, high-performing private dental practice in San Diego seeking an experienced Dental Insurance Billing & Accounts Receivable Specialist to take ownership of our insurance claims, outstanding A/R, and insurance follow-up. This is not an entry-level billing position. We are looking for someone who understands dental insurance thoroughly, knows how to work an aging report strategically, and can independently investigate and resolve unpaid or underpaid claims. Prior hands-on experience with both Dentrix and Vyne is required for this position. Primary Responsibilities Review and actively work outstanding insurance claims and insurance A/R Follow up consistently on unpaid, delayed, denied, or underpaid claims Work insurance aging reports strategically, prioritizing claims based on age, dollar amount, and urgency Investigate claim issues and determine exactly what is preventing payment Correct and resubmit claims when necessary Prepare and submit appeals with appropriate supporting documentation Review EOBs and insurance payments for accuracy Identify incorrect processing, downgrades, frequency limitations, missing information, coordination-of-benefits issues, and other discrepancies Submit and manage claims, attachments, narratives, X-rays, perio charting, and supporting documentation through Vyne Communicate directly with insurance carriers and follow claims through resolution Maintain detailed, accurate claim notes in Dentrix Track claims requiring additional action and ensure nothing falls through the cracks Identify recurring billing or claim-submission problems and communicate them to management Assist with insurance payment posting and reconciliation as needed Help maintain clean accounts and reduce outstanding insurance A/R Required Experience & Qualifications Minimum 3 years of dental insurance billing and/or dental A/R experience preferred Hands-on Dentrix experience
REQUIRED
Hands-on Vyne experience
REQUIRED
Experience independently managing dental insurance aging reports Strong knowledge of dental terminology and CDT codes Strong knowledge of PPO dental insurance Experience reviewing EOBs and resolving denials and underpayments Understanding of downgrades, frequency limitations, waiting periods, annual maximums, deductibles, missing tooth clauses, coordination of benefits, and other common dental insurance provisions Experience preparing appeals, narratives, and supporting documentation Comfortable communicating directly with insurance companies Strong attention to detail and documentation Ability to independently research and resolve complicated claims Excellent organizational and follow-through skills Please do not apply if you do not have prior dental billing experience using both Dentrix and Vyne. What Success Looks Like We are looking for someone who doesn't simply "touch" claims. Success means claims are followed through to resolution . Our billing specialist should be able to take an outstanding claim, determine why it has not been paid, identify what is needed, take the appropriate action, document that action, and continue following it until the claim is resolved.
We expect:
Insurance A/R to be actively worked every week Aging balances to steadily decrease Claims not to sit untouched for extended periods Denials and underpayments to be investigated rather than automatically written off Follow-up notes to clearly document what occurred and the next action required Management to be able to confidently hand over the insurance aging report knowing it is being actively managed We value accuracy, persistence, accountability, and results over simply processing a high volume of claims. About Our Practice True Design Dentistry is a growing private dental practice focused on providing an exceptional patient experience and high-quality comprehensive dentistry. Our practice includes general, restorative, cosmetic, implant, and advanced dental treatment. We are looking for experienced professionals who can take ownership of their responsibilities and help us build strong systems as the practice continues to grow. Schedule This position will initially be part-time , with hours based on experience and the needs of the practice. There may be an opportunity for the position to grow based on performance and the needs of the practice. Compensation Competitive hourly compensation based on dental billing experience and demonstrated ability to successfully manage insurance A/R. Please include your desired hourly rate when applying. To Apply Please submit your resume along with a brief description of your dental billing experience. Experienced dental billing professionals with Dentrix and Vyne experience only, please.