Virtual Dental Biller – Open Dental EHR

This is a fully remote position, open to applicants in Philippines.

📋 Description

• Prepare, review, and submit both primary and secondary dental claims with precise CDT codes, required attachments, and detailed clinical narratives.

• Correct and promptly resubmit any claims that have been rejected.

• Process both electronic (EFT/ERA) and manual insurance payments.

• Audit line-item adjustments to identify any overpayments.

• Initiate refunds for patients whose accounts have been fully paid by insurance.

• Ensure that submitted claims align with the treatment notes that were rendered.

• Conduct regular audits of charts and billing processes to prevent compliance issues.

• Review daily claim queues for clean submissions, valid subscriber information, and necessary clinical attachments.

• Address claim rejections and denials by liaising with dental insurance payors and resubmitting corrected claims or documentation.

• Post daily and quarterly bulk payments from insurance by patient and office location.

• Document adjustments, write-offs, and requests for patient refunds.

• Collaborate with clinical providers and front desk personnel to resolve coding discrepancies and to collect missing documentation.

• Ensure compliance with dental insurance policies.

⛳️ Requirements

• At least 2+ years of practical experience in managing U.S. dental billing, claims processing, and payment posting.

• Comprehensive understanding of Current Dental Terminology (CDT) codes, dental insurance regulations, radiograph/attachment requirements, and standards for claim submission.

• Demonstrated ability in posting ERAs/EOBs, reviewing line-item adjustments, and managing workflows related to patient balances and refunds.

• Capability to work independently while maintaining a high level of accuracy and meeting daily departmental billing targets.

• Exceptional verbal and written communication skills in English.

• Strict adherence to HIPAA privacy regulations and patient record security standards.

• A dedicated home office setup that includes a high-speed PC/Mac, primary high-speed internet, backup power/internet options, and a quiet workspace.

• Experience with Dentrix, Eaglesoft, Open Dental, or Curve Dental is preferred.

🏝️ Benefits

• Comprehensive health insurance options.

• Flexible working hours and remote work opportunities.

• Opportunities for professional development and advancement.