Dental Biller (Orthodontic Billing)

We are seeking an experienced Dental Biller with strong expertise in orthodontic billing to support a California-based dental practice. The ideal candidate will have hands-on experience with U.S. dental insurance, specifically PPO plans, and a deep understanding of orthodontic case billing, payment posting, and insurance follow-ups.

Requirements

• Process and submit dental and orthodontic insurance claims accurately and in a timely manner
• Manage pre-authorizations and treatment estimates for orthodontic cases
• Handle insurance verification with a focus on orthodontic benefits (lifetime maximums, frequency limitations, age limits)
• Post insurance payments, patient payments, and adjustments
• Follow up on outstanding claims, denials, and appeals

•Review and resolve EOB discrepancies

• Coordinate with front office and treatment coordinators regarding patient balances and insurance coverage
• Maintain accurate documentation within the practice management system
• Ensure compliance with California dental billing guidelines and payer requirements

Required Qualifications

• Minimum 2–3 years of Dental Billing experience (U.S. healthcare account)
• At least 1–2 years of Orthodontic Billing experience
• Strong understanding of PPO dental insurance plans (U.S.)
• Experience with claim submission, AR follow-ups, and denial management
• Familiarity with orthodontic billing structures (e.g., global billing, installment plans)
• Excellent English communication skills (written and verbal)

•High attention to detail and accuracy

•Experienced in Dentrix EMR systems.

Originally posted on Himalayas