Orthodontic Biller (Must Have Dental/Ortho Experience)

Orthodontic Biller | Full-Time | Remote | $7–$8/hr

Location: Remote U.S. Based company, Philippines-based candidates only

Schedule : Full-Time | U.S. Business Hours

Compensation: $7–$8 USD/hour, depending on experience

Type: Long-Term | Full-Time

About the Role

We are looking for an experienced Dental Insurance & Billing Virtual Assistant to support our client, a U.S.-based Dental Support Organization. This role centers on accounts receivable and claims resolution, verifying insurance, submitting and following up on claims, resolving denials and rejections, posting payments, and keeping every account moving toward closure. The best fit is someone who has owned a Dental/Orthodontic AR or aging workload before and understands that a claim isn't "worked" until it's actually resolved, not just touched.

Orthodontic experience is a plus, and prior exposure to orthodontic work-in-progress (WIP) claims is especially valuable, since ortho billing continues over the life of treatment rather than closing after a single visit.

What You'll Do

Insurance Verification

• Verify dental and orthodontic insurance eligibility and benefits
• Confirm coverage details, limitations, annual maximums, deductibles (individual and family), and waiting periods
• Document benefit breakdowns and plan percentages by procedure category (diagnostic, preventative, perio, restorative, endo, ortho, oral surgery) in the practice management system
• Verify appointments ahead of the visit and flag any gaps before the patient is seen
• Flag missing or unclear insurance information for follow-up

Accounts Receivable & Aging

• Work an aging report on a consistent cadence, prioritizing high-dollar claims and any claim approaching the timely-filing deadline
• Track claim status end-to-end and keep clear, specific notes on what action was taken and what's next — not just "needs follow-up"
• Follow up on outstanding claims until they're actually resolved, not just reworked and set back down

Billing & Claims Support

• Submit claims through the practice's clearinghouse and track them to resolution
• Correct and resubmit claims rejected for errors (member ID, date of birth, etc.)
• Gather required supporting documentation for claims needing attachments — x-rays, narratives, perio charting (e.g., SRP)
• Review EOBs, identify payment discrepancies, and resolve denied or delayed claims
• Prepare and submit appeals for denied claims, including medical-necessity documentation, via the insurer's accepted method (mail/email preferred; fax avoided where document quality matters)
• Post payments and apply adjustments; close claims once resolved
• Generate and send patient statements for patient-responsibility balances

Orthodontic Work-in-Progress (WIP) Claims

• Handle insurance transitions mid-treatment: when a patient's coverage changes, verify whether the new carrier accepts ortho work-in-progress
• Gather and submit prior EOBs and required documentation to the new insurance to continue billing without interruption

Practice Support

• Maintain accurate patient, insurance, and billing records
• Communicate directly with insurance companies as needed
• Coordinate with the in-office team on insurance status, claims, and billing updates
• Follow established SOPs and documentation standards

Required Experience

• Dental insurance verification and billing experience, including AR/aging ownership
• Claims submission, denial resolution, and appeals experience
• Comfortable reviewing EOBs and identifying discrepancies
• Meticulous, specific documentation habits, notes that capture what was done and what's next
• Clear written English communication
• Ability to work independently and manage a growing caseload, ramping toward 30–40 active accounts per day after onboarding
• Reliable internet connection and quiet work environment
• Availability to work full-time during U.S. business hours

Preferred Experience

• Orthodontic billing experience, especially work-in-progress (WIP) claims
• Experience with Ortho2 Edge (our EHR/PMS) or Cloud9 (similar workflow)
• Experience submitting claims through a clearinghouse (we use Dental Exchange)
• Patient ledger review or AR follow-up experience
• Experience with Medicaid or state insurance
• Experience supporting a U.S.-based dental or orthodontic office

Softwares Used

• Ortho2 Edge (EHR/PMS)
• Dental Exchange (clearinghouse)

Training & Support

New hires ramp in gradually rather than being handed a full caseload on day one, typically 10–15 accounts in the first couple of weeks, moving up toward 30–40/day as you get comfortable. You'll go through documented SOPs and training videos, work with a consultant during your first week, and join daily check-ins with the full billing team where questions and answers are shared across the group.

What Success Looks Like

• Insurance benefits are verified accurately and ahead of appointments
• Claims are submitted, tracked, and followed up on consistently, nothing sits untouched
• Denials and rejections are resolved, not just reworked
• Documentation clearly shows what was done and what's next on every account
• Billing notes and patient account updates are accurate
• Questions or issues are flagged early

To Apply

Please submit the following to with the Subject Line: Ortho Biller VA – [Your Full Name]

• A viewable link to your updated resume
• A short paragraph describing your dental and/or Orthodontic insurance verification & billing experience, including any AR/aging, appeals or work-in-progress (WIP) claim work you have done
• A short voice introduction: A link to a 60 to 90 second recording (Loom, Vocaroo, or similar) of you introducing yourself and sharing your experience

Benefits

Dental insurance