Dental Billing Lead

Toothy AI is a Y Combinator–backed dental technology company helping practices streamline insurance verification, billing, and claims management through a powerful combination of AI automation and highly experienced dental revenue cycle professionals. Y Combinator has also backed leading companies such as Airbnb, Reddit, and Weave, and Toothy AI is proud to be part of that same network of innovation. We partner with dental offices nationwide to eliminate administrative bottlenecks—so teams can focus on patient care while we ensure every verification and claim is processed accurately and efficiently. Role Overview We’re looking for an experienced Dental Billing Lead to join our remote team at Toothy AI. This is a hands-on individual contributor role responsible for leading the billing operations of an assigned region—a group of approximately 6–12 dental clinics. You’ll personally handle the core billing tasks for your region, including claim submissions, claim follow-ups, and insurance payment posting, while coordinating a small team of junior billers who assist with your region’s workload. You’ll be supported by Toothy’s Customer Success Manager and IT professionals, ensuring you have the operational and technical backing to succeed. You’ll also collaborate directly with our product team to help refine Toothy AI’s billing automation software and reporting tools, offering insights from your day-to-day experience. The ideal candidate is a highly skilled dental biller with deep insurance knowledge, strong communication skills, and the ability to manage multiple offices efficiently while maintaining accuracy and professionalism.

Key Responsibilities

• Own the full billing cycle for a defined region of 6–12 clinics, including claim submission, follow-up, and insurance payment posting.
• Coordinate and guide a small team of junior billers assisting with your region’s workload.
• Submit claims batched by dental offices, reviewing for accuracy before submission.
• Identify potential coding or claim setup issues and communicate with offices to resolve discrepancies before submission.
• Communicate regularly with multiple dental clinics, maintaining professionalism, clarity, and accountability in all interactions.
• Manage denials and rejections, ensuring quick resolution and consistent claim turnaround times.
• Post insurance payments accurately, processing EOBs and addressing any discrepancies.
• Complete daily, weekly, and monthly billing reports for each assigned clinic and review and approve reports submitted by junior dental billers.
• Contribute to SOP development to standardize processes and improve team alignment and efficiency.
• Assist with recruiting efforts, including interviewing and evaluating new dental billing candidates.
• Review and provide feedback to Toothy’s product team to enhance AI billing automation and reporting tools.
• Perform account reconciliation and handle pre-determinations, prior authorizations, and fee schedule updates when requested by management or clients.
• Other duties as assigned.

Qualifications

• 3+ years of experience in dental billing, insurance coordination, or revenue cycle management.
• Deep, hands-on expertise across the billing lifecycle, including:
• Claim submission — reviewing claims batched by offices for completeness, verifying attachments, understanding clinical narratives to determine required documentation, and ensuring compliance with payer requirements.
• Claim follow-ups — tracking unpaid or denied claims, identifying trends, and coordinating timely appeals or corrections.
• Insurance payment posting — accurately posting insurance remittances, applying adjustments, and resolving discrepancies in EOBs.
• Strong understanding of which attachments (X-rays, narratives, intraoral photos) are required for procedures such as crowns, implants, and periodontal treatments.
• Able to interpret clinical narratives sufficiently to ensure the correct attachments are included for claim success.
• Proficiency with dental billing software (Dentrix, Open Dental, Eaglesoft, etc.) and insurance carrier portals.
• Proven ability or aptitude to manage billing operations for multiple clinics simultaneously.
• Excellent communication skills and the ability to work effectively in a fully remote team environment.
• Strong attention to detail, accountability, and time management.
• Reliable internet connection and a quiet, professional home workspace.

Preferred Qualifications

• Prior experience working at a dental billing company or handling billing for multiple clinics.
• Experience leading or mentoring other billers.
• Experience working with Medicaid plans and understanding state-specific billing requirements.
• Familiarity with multiple dental specialties, such as Pediatrics, Periodontics, Implants, Orthodontics, Oral Surgery, and Endodontics.

Why You’ll Love Working at Toothy AI

• Competitive pay and career growth potential.
• Comprehensive healthcare, dental, and vision insurance.
• Flexible PTO to support work-life balance.
• 100% remote work with a collaborative, tech-enabled team.
• A mission-driven culture focused on innovation, accuracy, and impact.
• The opportunity to work at a Y Combinator–backed startup—joining the ranks of companies like Airbnb, Reddit, and Weave—and help shape the future of dental billing technology.

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