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[Remote] Dental Billing Lead
Note: The job is a remote job and is open to candidates in USA. Toothy AI is a Y Combinator–backed dental technology company focused on streamlining insurance verification, billing, and claims management for dental practices. The Dental Billing Lead will manage the billing operations for a group of dental clinics, ensuring accurate claim submissions and coordinating a team of junior billers. Responsibilities • Own the full billing cycle for a defined region of 6–12 clinics, including claim submission, follow-up, and insurance payment posting • Coordinate and guide a small team of junior billers assisting with your region’s workload • Submit claims batched by dental offices, reviewing for accuracy before submission • Identify potential coding or claim setup issues and communicate with offices to resolve discrepancies before submission • Communicate regularly with multiple dental clinics, maintaining professionalism, clarity, and accountability in all interactions • Manage denials and rejections, ensuring quick resolution and consistent claim turnaround times • Post insurance payments accurately, processing EOBs and addressing any discrepancies • Complete daily, weekly, and monthly billing reports for each assigned clinic and review and approve reports submitted by junior dental billers • Contribute to SOP development to standardize processes and improve team alignment and efficiency • Assist with recruiting efforts, including interviewing and evaluating new dental billing candidates • Review and provide feedback to Toothy’s product team to enhance AI billing automation and reporting tools • Perform account reconciliation and handle pre-determinations, prior authorizations, and fee schedule updates when requested by management or clients • Other duties as assigned Skills • 3+ years of experience in dental billing, insurance coordination, or revenue cycle management • Deep, hands-on expertise across the billing lifecycle, including: Claim submission — reviewing claims batched by offices for completeness, verifying attachments, understanding clinical narratives to determine required documentation, and ensuring compliance with payer requirements • Claim follow-ups — tracking unpaid or denied claims, identifying trends, and coordinating timely appeals or corrections • Insurance payment posting — accurately posting insurance remittances, applying adjustments, and resolving discrepancies in EOBs • Strong understanding of which attachments (X-rays, narratives, intraoral photos) are required for procedures such as crowns, implants, and periodontal treatments • Able to interpret clinical narratives sufficiently to ensure the correct attachments are included for claim success • Proficiency with dental billing software (Dentrix, Open Dental, Eaglesoft, etc.) and insurance carrier portals • Proven ability or aptitude to manage billing operations for multiple clinics simultaneously • Excellent communication skills and the ability to work effectively in a fully remote team environment • Strong attention to detail, accountability, and time management • Reliable internet connection and a quiet, professional home workspace • Prior experience working at a dental billing company or handling billing for multiple clinics • Experience leading or mentoring other billers • Experience working with Medicaid plans and understanding state-specific billing requirements • Familiarity with multiple dental specialties, such as Pediatrics, Periodontics, Implants, Orthodontics, Oral Surgery, and Endodontics Benefits • Comprehensive healthcare, dental, and vision insurance. • Flexible PTO to support work-life balance. • 100% remote work with a collaborative, tech-enabled team. Company Overview • It was founded in 2024, and is headquartered in San Francisco, California, USA, with a workforce of 2-10 employees. Its website is Apply tot his job Apply To this Job
