Dental Billing Virtual Assistant for Claims and Appeals
A dental billing virtual assistant from DentalCareWorks takes the claim work that stalls when the office gets busy. They prepare predeterminations, correct and resend rejected claims, write appeals with the right narrative and attachments, and check on outstanding claims while they work them, all inside your practice software.
- $10 an hour
- Your clearinghouse and portals
- Cancel anytime
Claims worked today
In progress
- Clearinghouse rejections clearedSubscriber ID and tooth number corrected
- Crown predetermination sentRadiograph and narrative attached
- Denied SRP claim (D4341) appealedPerio chart and letter sent to the payer
- Status checked on older claimsTwo missing attachments found and sent
- Appeal response due from a payerFollow up set for Friday
What they handle
The claim work a dental billing assistant takes on
Most unpaid claims are not lost; they are waiting for someone to fix one field, send one attachment or write one letter. That someone is your billing assistant.
Predeterminations
Treatment plans sent to the payer before treatment, with the radiographs, charting and narrative the plan asks for, and followed until a response arrives.
Claim rejections
Claims bounced by the clearinghouse or payer for missing or wrong data corrected and resent, worked as they come back.
Billing appeals
Denials reviewed against the plan's own reasons, and appeal letters written with a clear narrative and the records that answer the denial.
Narratives and attachments
Narratives drafted from the dentist's notes for the procedures that need them, and the right images and charts attached before the claim goes out.
Status of open claims
Outstanding claims checked in portals or by phone while they are being worked, so missing information is found before a deadline passes.
A clear record of every step
Each correction, call and appeal noted on the claim, with dates and reference numbers your team can pick up at any time.
How it works
Claims that keep moving until they are paid
Your billing assistant works in your practice management software, your clearinghouse and your payer portals, with accounts your practice sets up for them. They start each day with new rejections, then move to predeterminations and appeals, and keep a running list of every claim that is waiting on someone.
When a narrative needs clinical judgment, they draft it from the chart and send it to the dentist to review. Nothing goes to a payer that your team would not stand behind.
- Rejections worked daily, as they arrive
- Appeals written to the payer's stated reason
- Clinical wording always reviewed by your dentist
Fewer denials start with better claims
Our guide to dental claim narratives shows what payers look for and which attachments go with which procedures.
When a claim is denied anyway, the guide to dental claim denials and appeals walks through a working routine and a sound appeal letter.
Pricing
One rate for your dental billing assistant
A dedicated billing assistant costs $10 an hour, part time or full time. There is no setup fee and no long term contract.
Claims go smoother when the benefits were right to begin with, so many practices pair billing with dental insurance verification.
One flat rate
- No long term contract
- No setup fees
- Cancel anytime
- A dedicated assistant, in your own systems
Dental billing virtual assistant questions
What does a dental billing virtual assistant do?
At DentalCareWorks, they prepare and follow predeterminations, correct and resend rejected claims, write billing appeals with narratives and attachments, and check the status of outstanding claims while working them.
What is the difference between a rejection and a denial?
A rejected claim was never accepted for processing, usually because of missing or wrong data, and can be corrected and resent. A denied claim was processed and refused, and needs an appeal or a corrected claim with more information.
Who writes the clinical part of a narrative?
Your assistant drafts it from the dentist's notes and charting, and the dentist reviews it before it goes to the payer.
Can the assistant work in our clearinghouse?
Yes, through an account your practice creates. They work in your practice management software, clearinghouse and payer portals, and your team controls every login.
How much does a dental billing virtual assistant cost?
A dental billing assistant from DentalCareWorks is $10 an hour, with no setup fee and no long term contract; claims, rejections and appeals all sit inside the same hourly rate.
Talk with us about your front desk and back office
A short discovery call to map the work your team wants off its plate, and how a dental virtual assistant would handle it.