Dental Billing Team Leader

Responsibilities:

• Lead and oversee the daily operations of the billing department, ensuring efficiency and accuracy.
• Develop and implement effective billing and collection policies and procedures.
• Ensure compliance with U.S. government and third-party payer regulations.
• Optimize insurance payer contracts, pricing strategies, and reimbursement rates.
• Oversee timely claim submissions and manage the aging process to minimize denials.
• Conduct pre- and post-appointment audits to ensure accurate billing and coding.
• Handle escalated insurance calls and facilitate claim corrections and refunds.
• Monitor key performance indicators (KPIs) related to collections and accounts receivable.
• Train and support billing team members, ensuring adherence to best practices.
• Collaborate with on-site teams to resolve billing and insurance-related issues.

Qualifications:

• 5+ years of dental billing experience, preferably in a management or supervisory role.
• Proficiency in Dentrix Ascend, Google Workspace, Slack, and Asana.
• Strong knowledge of PPO, DMO, DHMO, and NYS Managed Care Programs.
• Understanding of in-network/out-of-network benefits and fee-for-service models.
• Up-to-date knowledge of ADA billing guidelines and CDT coding.
• Strong written and verbal communication skills in English.
• Excellent critical thinking, problem-solving, and organizational abilities.
• Ability to work independently, manage remote teams, and coordinate with U.S.-based staff.