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Virtual Dental Biller – Open Dental EHR

About the role

• Prepare, audit, and submit primary and secondary dental claims with accurate CDT codes, attachments, and clinical narratives
• Correct and promptly resubmit rejected claims
• Post electronic (EFT/ERA) and manual insurance payments
• Audit line-item adjustments and identify overpayments
• Initiate patient refunds for accounts paid in full by insurance
• Verify submitted claims match rendered treatment notes
• Conduct routine chart and billing audits to prevent compliance errors
• Audit daily claim queues for clean submissions, valid subscriber information, and required clinical attachments
• Resolve claim rejections and denials by communicating with dental insurance payors and resubmitting corrected claims or documentation
• Post daily and quarterly insurance bulk payments by patient and office location
• Document adjustments, write-offs, and patient refund requests
• Collaborate with clinical providers and front desk staff to resolve coding discrepancies and gather missing documentation
• Ensure alignment with dental insurance policies

• Minimum 2+ years of hands-on experience managing U.S. dental billing, claims processing, and payment posting
• In-depth knowledge of Current Dental Terminology (CDT) codes, dental insurance rules, radiograph/attachment requirements, and claim submission standards
• Proven skill in posting ERAs/EOBs, reviewing line-item adjustments, and managing patient balance/refund workflows
• Ability to work independently, maintain high accuracy, and keep up with daily departmental billing quotas
• Excellent written/spoken English communication
• Strict compliance with HIPAA privacy and patient record security standards
• Dedicated, private home office setup with a high-speed PC/Mac, primary high-speed internet, backup power/internet solutions, and a quiet working environment
• Experience using Dentrix, Eaglesoft, Open Dental, or Curve Dental preferred