Dental Billing & Arbitration Lead

Houston, TX
Full Time
Mid Level

Dental Billing & Arbitration Lead- Join URBN Dental’s Growing Team!

Are you a billing leader who thrives on complexity, precision, and impact? Do you bring clarity to codes, strength to negotiations, and vision to building scalable systems? URBN Dental is seeking a Dental Billing & Arbitration Lead who can own the details, champion fair reimbursements, and create a new standard of excellence in dental-medical billing.

URBN Dental has been featured in Vanity Fair, The New Yorker, and named one of Inc. Magazine’s Best Places to Work. With 10 modern, high-end practices in Houston (and more on the way), we’re recognized not only for our patient care but also for building innovative systems that elevate dentistry. Now, we’re creating a groundbreaking billing and arbitration department, and we’re looking for the right leader to drive it!

📍 Location: Houston, TX (On-site, Full-Time)
💼 Role: Medical Billing & Arbitration Lead – Dental/OMS Focus

Why URBN Dental?

We believe billing isn’t just paperwork, it’s advocacy, fairness, and strategy. We’re building a department that redefines how providers and patients are supported.

We are:

  • Trailblazing: Leading the way in cross-coding and out-of-network reimbursement.
  • Impact-Driven: Fighting for fair reimbursements in high-value, complex cases.
  • Growth-Minded: Expansion is fast, and your leadership will shape the future.
  • Mission-Oriented: Our purpose is to build a billing function as respected as our clinical care.
  • Recognized for Excellence: Featured in national publications, known for innovation.

What We Offer

  • 🏥 Health insurance
  • 🚀 Growth path into Billing Manager / Revenue Cycle Director role
  • 🌟 A chance to lead a ground-floor department in a PE-ready dental platform
  • 🤝 A culture of innovation, excellence, and people-first leadership

What You’ll Do

As our Dental Medical Billing & Arbitration Lead, you’ll be the driving force behind a new vertical at URBN Dental. You will:

  • Own the end-to-end OON medical billing process for advanced dental/OMS procedures (implants, grafts, peri-implantitis, OSA therapy, trauma, oncology).
  • Cross-code CDT → CPT/ICD-10 with mastery (e.g., CPT 21248, 21210, 21215, 41899, E0486).
  • Prepare ARB-ready packets: operative notes, imaging (CBCT), anesthesia logs, MD/nutritionist letters, literature support.
  • Manage payer correspondence: EOBs, denials, appeals, open negotiations.
  • File disputes via Texas TDI IDR portal (state-regulated plans) and CMS Federal IDR portal (ERISA/self-funded plans).
  • Craft winning arbitration submissions: FAIR Health benchmarks, complexity narratives, and “baseball-style” final offers.
  • Train & mentor junior billing staff, building a scalable, best-in-class billing/ARB department.
  • Track & report success rates, deadlines, and reimbursement vs. QPA benchmarks.

Who You Are

You’re more than a biller, you’re a strategic advocate and leader. You are:

  • Experienced: 5+ years in medical billing (dental/OMS/sleep medicine preferred).
  • Skilled: Strong command of CPT, ICD-10, CDT codes, payer portals, appeals, and denials.
  • Proven: Track record in OON billing, arbitration, and payer negotiation.
    Knowledgeable: Familiar with FAIR Health benchmarks, NSA/Federal IDR, and Texas ARB rules.
  • Leadership-Minded: Ready to build, mentor, and grow a high-performing billing team.
  • Purpose-Driven: You see billing as advocacy for patients and providers alike.

Certifications: 

  • CPC, CPB, or equivalent AAPC certification preferred.
     

Ready to Make an Impact?

This isn’t your average billing role, it’s a leadership opportunity to build something new, and meaningful in the dental industry. If you’re passionate about fairness, detail, and leadership, URBN Dental is where you’ll thrive!
 

✨ Apply now and start your journey with one of Houston’s most dynamic dental teams! ✨

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