Orthodontic Billing Specialist

Job Description

Job Description

Now Hiring - Orthodontic Billing Specialist - Angier

The Orthodontic Billing Specialist plays a critical role in protecting and maximizing company revenue through accurate claim submission, insurance follow-up, and accounts receivable management. This position is responsible for ensuring claims are submitted correctly with all required documentation, attachments, and clinical narratives while identifying and resolving administrative issues that may delay payment.

The ideal candidate is detail-oriented, organized, and committed to maintaining a high level of accuracy. A minimum claim submission accuracy rate of 98% is expected. This role will work closely with the Insurance and Payment Specialist team to help reduce outstanding accounts receivable and improve overall collections.

Key Responsibilities

Daily, weekly, and monthly duties include, but are not limited to:

• Review and submit outgoing insurance claims, ensuring proper documentation, attachments, coding, and fee schedules are included for both general dentistry and specialty services.
• Monitor insurance claim denials and rework, appeal, and resubmit claims as needed.
• Manage insurance accounts receivable using Dolphin reports and maintain clear documentation of claim status and progress.
• Collaborate with the Insurance and Payment Specialist team and insurance carriers to identify and resolve fee schedule discrepancies and claim processing issues.
• Post orthodontic EFT payments for assigned offices.
• Assist with departmental initiatives to improve collections and reduce outstanding insurance balances.
• Perform other duties as assigned.

Skills & Qualifications

• Strong planning, organizational, and time management skills
• Excellent verbal and written communication skills
• Professional demeanor and customer-service mindset
• Strong computer skills and attention to detail
• Ability to analyze and troubleshoot insurance claim denials effectively
• Ability to work independently and manage multiple priorities

Requirements

• High School Diploma or GED required
• 1–2 years of dental billing or dental insurance experience required
• Orthodontic experience is required
• Knowledge of dental insurance claims processing and accounts receivable management
• Ability to lift up to 20 pounds occasionally

Benefits That Make You Smile:

• Competitive pay!
• Comprehensive Insurance Coverage (after 90 days!) – Health, Vision, Dental, Life, Disability, FSA & more!
• 401(k) Employer Contribution Plan
• Quarterly Performance Bonus Opportunities!
• Employee Assistance Program!
• Uniform Allowance!
• Paid Time Off & Paid Holidays!
• Fridays off at 2 PM!
• Volunteer opportunities with our Smile Squad to earn awesome prizes!
• Fun team events, giveaways & social campaigns year-round!
• Birthday and Work Anniversary surprises sent directly from our owners!

Exclusive Team Perks

As the Official Team Dentist of the Carolina Hurricanes and Durham Bulls, our employees enjoy opportunities throughout the year to win tickets, VIP experiences, giveaways, and participate in exciting team partnerships and company-sponsored events.