Credentialing and Fee Schedule Negotiator

About Us: We are a dedicated dental billing company that partners with dental practices across the United States to streamline their revenue cycle operations. Our mission is to help providers maximize collections while reducing administrative burden. As a specialized team of billing professionals, we prioritize accuracy, transparency, and consistent communication with our clients. We are seeking an experienced Credentialing Specialist and Fee Schedule Negotiator to join our remote team. This is a key role focused on claim submission, insurance payment posting, denial resolution, and daily reporting. The ideal candidate is highly organized, detail-oriented, and experienced in managing dental billing workflows independently in a remote environment. Key Responsibilities: · Manage provider credentialing and re-credentialing with dental insurance payors, ensuring timely and accurate submission of applications and documentation. • Track credentialing status, maintain compliance records, and serve as the main point of contact for providers and insurance networks. • Analyze insurance fee schedules, identify opportunities for improved reimbursement, and negotiate with payors to secure favorable rates. • Monitor reimbursement trends, report negotiation outcomes, and support leadership in developing strategies to optimize practice profitability. Compliance and Data Security • Follow HIPAA regulations and internal data privacy policies • Stay current with industry changes, payer policies, and coding updates Required Qualifications: • Minimum 5 years of dental billing experience with a strong understanding of insurance workflows • At least 2 years of experience working remotely, demonstrating the ability to manage tasks independently and meet deadlines • Proficiency in dental software such as Dentrix, Eaglesoft, Open Dental, Denticon, or similar • Comfortable using payer portals, clearinghouses, and Excel • Strong written and verbal communication skills • Reliable internet connection and secure, HIPAA-compliant home workspace Preferred Qualifications: • Experience working with a dental billing service or supporting multiple practices • Dental billing or coding certification (e.g., AAPC, ADA courses) • Bilingual (Spanish a plus, but not required) Compensation & Growth Opportunity • Compensation is based on a percentage of invoiced revenue, offering strong earning potential tied to performance and results • Opportunity to grow this department and advance into a Lead or Manager-level role as the company continues to expand What We Offer: • 100% remote work opportunity • Part or full-time schedule with flexible daytime hours • Supportive team environment • Opportunities for career growth within a growing company To Apply: Please submit your resume and a brief cover letter describing your dental billing background and remote work experience. Qualified candidates will be contacted for a video interview and will be invited to complete our dental billing knowledge quiz. Job Types: Full-time, Part-time, Contract Benefits: • 401(k) • 401(k) matching • Flexible schedule • Paid time off Schedule: • 4 hour shift • 8 hour shift • Day shift • Monday to Friday Work Location: Remote Job Types: Full-time, Part-time Pay: $25.00 - $30.00 per hour Expected hours: 30 per week Benefits: • 401(k) • AD&D insurance • Dental insurance • Health insurance • Life insurance • Paid time off • Vision insurance Work Location: Remote