Dental/Medical Billing Lead

Key responsibilities

• Lead front desk operations, including patient welcome, insurance verification, scheduling, and payment support
• Serve as the main contact for billing questions, estimates, and account balances
• Manage end-to-end out-of-network medical billing for advanced dental and OMS procedures
• Cross-code CDT to CPT/ICD-10 accurately
• Prepare arbitration-ready documentation packets with operative notes, imaging, anesthesia logs, letters, and literature support
• Handle payer correspondence, EOBs, denials, appeals, and negotiations
• File disputes through Texas TDI IDR and CMS Federal IDR portals
• Create arbitration submissions using FAIR Health benchmarks and complexity narratives
• Train and mentor junior billing staff
• Track success rates, deadlines, and reimbursement benchmarks

Qualifications

• 5+ years of experience in medical billing, preferably in dental, OMS, or sleep medicine
• Strong knowledge of CPT, ICD-10, CDT codes, payer portals, appeals, and denials
• Experience with out-of-network billing, arbitration, and payer negotiation
• Familiarity with FAIR Health benchmarks, NSA/Federal IDR, and Texas ARB rules
• Leadership mindset with the ability to build and mentor a team
• CPC, CPB, or equivalent AAPC certification preferred

Benefits and perks

• Health insurance
• Growth path into Billing Manager or Revenue Cycle Director
• Opportunity to lead a new department within a growing dental platform
• Innovative, people-first culture