Job Summary:
Triton Medical Solutions is a revenue-cycle management company dedicated to hiring team members who deliver excellence in all they do. We are seeking a highly organized and detail-oriented Dental Billing Specialist to join our team as an Independent Contractor.
In this role, you will manage all aspects of the dental billing cycle—from insurance verification through claim payment posting—helping ensure accuracy, timeliness, and compliance across every stage of the process. The position focuses on resolving outstanding accounts receivable, investigating claim denials, and ensuring proper reimbursement from insurance carriers, including Medicaid, HMO, PPO, and other commercial plans.
While experience with the Axium dental software is preferred, it is not required. Training and guidance will be provided for qualified candidates with strong dental billing backgrounds.
Key Responsibilities
Insurance Verification & Pre-Authorizations
Verify dental insurance eligibility and benefits for all patients prior to scheduled appointments.
Obtain and submit pre-authorizations or pre-determinations for procedures when required.
Communicate benefit details and coverage limitations to providers and office staff.
Coverage Table Maintenance
Accurately update and maintain dental coverage tables and plan details within the dental software (axiUm).
Ensure plan codes, frequency limits, and fee schedules are current and correctly applied.
Claim Submission & Follow-Up
Prepare, review, and submit accurate dental insurance claims electronically and by paper as needed.
Track submitted claims, identify unpaid or denied claims, and follow up with insurance carriers to ensure resolution.
Research and resolve claim discrepancies, rejections, and denials in a timely manner.
Payment Posting & Reconciliation
Post insurance payments and adjustments accurately from EOBs and remittance advices.
Review and reconcile accounts to ensure correct patient and insurance balances.
Identify underpayments, overpayments, and take corrective actions as needed.
Accounts Receivable Management
Monitor outstanding balances and work aging reports to drive timely collections.
Document all actions taken within the system and maintain clear communication with clients.
Compliance & Documentation
Ensure compliance with HIPAA regulations and all dental billing and insurance requirements.
Maintain detailed notes, records, and audit-ready documentation for all billing activities.
Qualifications
High School Diploma or GED required; Associate’s degree or higher preferred.
Minimum three (3) years of dental insurance and accounts receivable experience required.
Experience with Dentrix, Dentrix Ascend, Eaglesoft, Open Dental, or similar systems preferred; axiUm experience preferred but not required.
Strong understanding of dental insurance verification, benefit breakdowns, pre-authorizations, claim submission, and payment posting.
Must be organized, self-motivated, and highly detail-oriented.
Ability to interpret EOBs, identify discrepancies, and apply accurate payments and adjustments.
Must have a dedicated home workspace, reliable computer, printer/scanner, and high-speed internet.
Excellent written and verbal communication skills and the ability to work independently while meeting deadlines.
Expectations
As an Independent Contractor, you will use your own equipment that meets Triton’s IT and security requirements. You are expected to maintain confidentiality, uphold accuracy standards, and manage your daily tasks independently while supporting assigned client accounts.
This is a remote position.