Orthodontic Biller

Orthodintic Insurance & Billing Virtual Assistant | Full-Time Remote | $7–$8/hr
Location: Remote, Philippines-based preferred
Schedule: Full-Time | U.S. Business Hours
Compensation: $7–$8 USD/hour, depending on experience
Type: Long-Term | Full-Time
Openings: 1 full-time role available
Industry: Dental / Orthodontic Healthcare
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 an 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
Experience We Are Looking For
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
Strong Plus
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
Software We Use
Ortho2 Edge (EHR/PMS)
Dental Exchange (clearinghouse)
Also helpful to have used: Dolphin, Open Dental, Dentrix, Eaglesoft, Cloud9, or any dental/ortho practice management software.
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 erin@cascadeffects.com:
Subject Line: Ortho Biller VA – [Your Full Name]
A viewable link to your updated resume
A short paragraph describing your dental insurance verification & billing experience, including any AR/aging or appeals work
A short paragraph describing any orthodontic experience you have, especially work-in-progress (WIP) claims
Please mention whether you have used Ortho2 Edge or a clearinghouse like Dental Exchange, and when you last used each, plus a list of any other dental, orthodontic, billing, or practice management systems you've worked in.

Work arrangement
No