Toothy AI (YC W25) · 17 hours ago
Dental Billing Lead
United States
Full-time
Remote
Mid, Senior Level
3+ years expToothy AI is a Y Combinator–backed dental technology company focused on streamlining insurance verification, billing, and claims management for dental practices. The Dental Billing Lead will manage the billing operations for a group of dental clinics, ensuring accurate claim submissions and coordinating a team of junior billers.
DentalHealth CareMedical
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
Qualification
Required
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
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
Benefits
Comprehensive healthcare, dental, and vision insurance.
Flexible PTO to support work-life balance.
100% remote work with a collaborative, tech-enabled team.
Company
Toothy AI (YC W25)
2-10 employees
Funding
Current Stage
Early StageTotal Funding
unknown2025-03-12Seed
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