For dental practices, DSOs & cosmetic dentists

Dental production looks strong on paper.Collections tell a different story every month.

Missed calls, unverified insurance, aging claims, and treatment follow-up gaps cost dental practices thousands every month. HBS gives you an embedded operations team — calls, billing, insurance verification, RCM, and admin support — at 70% less than hiring in-house dental staff.

Hired Billing Support is the remote dental operations team that closes that gap. Insurance verification, claims, AR follow-up, write-off recovery, front desk relief — all inside your PMS, working like your in-house team. So your office can focus on patients, not on chasing payers.

— Dental Operations · Live Dashboard
94.8%collection rate
↑ 2.3% this month
Updated today · Multi-Location DSO Dashboard
Calls Answered
97.2%
Insurance Verified
48hr ahead
Clean Claim Rate
98.1%
AR Days
24 days
— Active Dental Queues
Inbound call queue
Live · 0 waiting
Insurance verification — tomorrow's patients
18/18 done
Outbound recall — hygiene reactivation
12 remaining
Claims submitted today
34 clean
AR follow-up — 30-60 day bucket
8 in progress
ParkviewDental Group
Midtown SmileStudio NYC
CoastalDentist.com
Summit DentalPartners
BrightsideOrthodontics
Heritage DentalCare
Lakewood DentalAssociates
Metro DentalNYC
Canyon CreekDentistry
Pacific SmileGroup
Riverside DentalCo.
Pinnacle DentalDSO
ParkviewDental Group
Midtown SmileStudio NYC
CoastalDentist.com
Summit DentalPartners
BrightsideOrthodontics
Heritage DentalCare
Lakewood DentalAssociates
Metro DentalNYC
Canyon CreekDentistry
Pacific SmileGroup
Riverside DentalCo.
Pinnacle DentalDSO
The morning every dental office knows

You already know how this goes.

It's Tuesday. The schedule is full. You are three minutes behind on every patient.

Your front desk is on hold with Delta Dental — again — trying to verify benefits for a patient who walked in fifteen minutes ago. A new patient call is ringing. Nobody can answer it. The hygiene patient is sitting in the waiting room with a clipboard nobody has time to review.

Meanwhile, last month's claims are still sitting. The PPO write-offs from January are confusing. The aging report has 90+ day buckets that nobody has touched since the office manager went on maternity leave. Your last hygiene block had two openings that did not get filled because nobody had time to work the recall list.

You produced great numbers last month. You know you did.

So why does the bank account not reflect it?

01
Missed calls are costing you new patients.
The phone rings during check-in, during a benefits call, during the lunch rush. Every missed call is a potential new patient who called the next practice on the list instead.
35% unanswered
02
Insurance verification is killing your front desk.
Average call to a payer is 12-18 minutes. Multiply by 30 patients a day. Your front desk spends more time on hold than with patients.
~6 hrs/day lost
03
Production looks strong. Collections do not.
You are producing well but collecting 70-80% of it. The industry benchmark is 98%. That gap is somebody's salary — maybe two.
20pt gap = $$$
04
Claims are submitted but not tracked.
Claims go out. Some come back denied. Most just sit. Nobody has the bandwidth to follow up on every one past 30 days, and 90+ day buckets keep growing.
30% recovery loss
05
Treatment plans are not getting followed up.
Patients leave with a treatment plan and never hear back. Unscheduled treatment sits on a report nobody reviews. Revenue that was already accepted does not make it onto the schedule.
-12% acceptance
06
Outbound calls get skipped every day.
Recall calls, appointment reminders, patient balance follow-up, no-show follow-up, reactivation campaigns. They are all on the list. They all get pushed to tomorrow.
~$3-5k/mo lost
07
PPO write-offs are quietly bleeding you.
You are writing off contracted amounts you should be appealing. Nobody has the bandwidth to dig into fee schedule discrepancies, underpayments, or payer adjustments.
$4-11k/month
08
Admin tasks pile up and patient care suffers.
Data entry, form follow-up, documentation, appointment coordination, referral management. Small tasks add up until the important follow-ups fall through the cracks.
Staff burnout
What is actually happening behind the scenes

You do not have a marketing problem. You have an operational throughput problem.

Dental growth does not only depend on more marketing. It depends on what happens after the patient calls.

Your practice is producing more than your back office can clean up. The more you grow, the wider the gap gets.

Calls come in while patients are being checked in. Insurance verification is delayed. Treatment plans are not followed up consistently. Claims are submitted but not tracked. AR is reviewed too late. Outbound calls get skipped. Admin tasks pile up.

Revenue leaks through small daily gaps that individually seem manageable but collectively cost thousands every month.

  • Calls missed during peak hours30-40%
  • Front desk time spent on verification calls15-25 hrs/wk
  • Claims submitted with at least one error25-30%
  • Recoverable AR sitting past 90 days$8-15k
  • Monthly production lost to unfilled hygiene$3-5k
  • Treatment plans lost to follow-up gaps12-18%
  • Patient inquiries that never convert20-30%
That is not a staffing problem you fix by posting on Indeed. That is an operational layer your practice is missing — and HBS is built to be that layer.
— Our model

We do not replace your team. We are the operational layer your team has been waiting for.

Hired Billing Support gives you a dental-trained remote operations team that lives inside your practice management software. Same logins. Same workflows. Same SOPs. We answer your calls, verify your insurance, submit your claims, follow up on AR, work your recall list, manage your admin tasks, and support your patient communication — and we do not take PTO during your busiest week.

You will have specific people assigned to your practice. They will learn your codes, your PPO contracts, your providers, your patients' names. They will feel like staff — because operationally, they are.

We adapt to your process, not the other way around. Your front desk should not have to change how they work just because you added support.

What we run for your practice

The full dental operations stack.

Pick the layers you need. Run one service, or hand us the entire back office. Every service runs inside your existing software and workflow.

Inbound

Inbound Call Support

Pain: Missed calls, patients on hold, front desk overwhelmed

New patient inquiries, scheduling requests, insurance questions, billing questions, treatment questions, and follow-up calls — answered, documented, and routed without overwhelming your in-office team. No more missed calls during check-in or lunch rush.

→ More calls answered. More patients scheduled.
Outbound

Outbound Call Support

Pain: Recall gaps, no-shows, unscheduled treatment

Appointment reminders, recall calls, treatment plan follow-up, no-show follow-up, patient balance follow-up, hygiene reactivation, and new patient inquiry callbacks — consistent outbound communication that turns missed opportunities into scheduled care.

→ Fuller schedules. Fewer gaps. Better recall rates.
RCM

Dental RCM Support

Pain: Claims sitting, AR growing, collections lagging

Dental billing, CDT-coded claim submission, claim follow-up, payment posting, denial management, PPO write-off review, underpayment appeals, insurance aging review, and production-to-collection visibility. Clean-claim rate above 98%.

→ Revenue moves through the cycle. Collections match production.
Insurance

Insurance Verification

Pain: Patients arrive unverified, cost surprises, claim delays

Eligibility checks, benefits breakdown, PPO plan verification, deductibles, co-pays, annual maximums, frequency limitations, waiting periods, pre-authorization support — all documented inside your chart 48 hours before the appointment.

→ Cleaner treatment planning. Fewer surprised patients.
AR & Claims

AR & Claim Follow-Up

Pain: Aging AR, untouched 90+ buckets, slow recovery

Every aging bucket worked — 30, 60, 90, 120+. Payer calls, re-submissions, narrative appeals, denial categorization, and payment resolution. Most dental clients see AR days drop below 25 within 90 days.

→ Faster payments. Smaller aging buckets. Recovered revenue.
Patient Comm

Treatment Plan Follow-Up

Pain: Accepted treatment never scheduled, revenue left on table

Patients who said yes to treatment but never scheduled get consistent, professional follow-up. Unscheduled treatment reports reviewed daily. Warm outreach converts treatment acceptance into completed care and collected revenue.

→ Treatment acceptance that actually becomes treatment completion.
Admin

Administrative Support

Pain: Tasks pile up, follow-ups missed, data entry delayed

Patient data entry, appointment coordination, form follow-up, documentation organization, insurance document collection, daily task queue support, provider schedule support, referral management, and reporting support — the remote admin layer that keeps operations moving.

→ Less admin burden. More focus on patient care.
Communication

Patient Communication Support

Pain: Patient questions unanswered, statements unclear, frustration

Patient billing questions answered with clarity and empathy. Statements sent on schedule. Balance follow-up without making patients feel hounded. Insurance explanation support. Post-treatment communication that builds loyalty, not friction.

→ Stronger patient experience. Better retention.
Patient communication workflow

Every patient call answered. Every follow-up tracked.

HBS supports the full patient communication cycle — from the moment a phone rings to the follow-up that closes the loop. Your front desk handles patients in the chair. We handle the phones and the outreach.

01
Call Received
Inbound answered
02
Need Identified
Schedule · insurance · billing
03
Documented
Notes in PMS
04
Task Routed
Or completed live
05
Follow-Up Set
Tracked · scheduled
06
Outbound Call
Recall · reminder · TX
07
Loop Closed
Patient scheduled
Partnering with Hired Billing Support gave us peace of mind. Our billing is cleaner, our staff works on patient care instead of paperwork, and we are now capturing more appointments than ever.
RE
Dr Ruth - Edwin DMD/MS
Diplomate of American Board of Periodontology
Working with HBS has been a game-changer. The team is professional, responsive, and has streamlined our billing operations seamlessly.
HM
Herma Thompson PMHNP-BC
Nurse Practitioner - Psych/Mental Health
HBS identified three payers underpaying our E&M claims for over a year. Recovered $40,000 in one quarter.
JW
James Whitfield MBA, CMPE
Certified Medical Practice Executive
Prior auth denials dropped from 11% to under 3% in 60 days. HBS tracks every authorization before it expires.
RM
Dr. Rehan Malik MD, FACC
Interventional Cardiologist
Partnering with Hired Billing Support gave us peace of mind. Our billing is cleaner, our staff works on patient care instead of paperwork, and we are now capturing more appointments than ever.
RE
Dr Ruth - Edwin DMD/MS
Diplomate of American Board of Periodontology
Working with HBS has been a game-changer. The team is professional, responsive, and has streamlined our billing operations seamlessly.
HM
Herma Thompson PMHNP-BC
Nurse Practitioner - Psych/Mental Health
HBS identified three payers underpaying our E&M claims for over a year. Recovered $40,000 in one quarter.
JW
James Whitfield MBA, CMPE
Certified Medical Practice Executive
Prior auth denials dropped from 11% to under 3% in 60 days. HBS tracks every authorization before it expires.
RM
Dr. Rehan Malik MD, FACC
Interventional Cardiologist
Insurance verification process

Benefits verified before the patient sits down.

Insurance confusion delays treatment, frustrates patients, and creates claim errors. HBS verifies coverage 48 hours before the appointment — so your team presents treatment with confidence, not guesswork.

01

Collect patient and insurance details

Patient demographics, insurance ID, group number, subscriber information, and secondary coverage details pulled from the schedule and patient record.

02

Check eligibility and active coverage

Eligibility confirmed with the payer — plan active, patient covered, effective dates validated, network status confirmed for the rendering provider.

03

Break down benefits and limitations

Deductibles, co-pays, co-insurance, annual maximums, remaining benefits, frequency limitations, waiting periods, age limitations, and downgrades — all documented clearly.

04

Review treatment-specific coverage

Coverage confirmed for the specific procedures scheduled — including missing tooth clauses, PPO fee schedule confirmation, and pre-authorization requirements flagged if applicable.

05

Document verification notes in your system

All verification details entered directly into the patient chart inside your practice management software. Front desk sees everything before the patient arrives. No separate reports to check.

06

Flag unclear coverage for review

If coverage is unclear, limitations are unusual, or plan details do not match expected benefits, the issue is flagged for the office before the appointment — not discovered at the chair.

Dental revenue cycle workflow

From claim readiness to collected revenue.

Production does not automatically become collections. Claims need to be clean, submitted fast, tracked actively, and followed up aggressively. HBS manages every step of the dental revenue cycle.

01
Claim Ready
Verified · coded
02
Submission
Same-day · clean
03
Tracking
Status monitored
04
Follow-Up
Payer · resubmit
05
Payment Posted
Reconciled daily
06
Denial/Appeal
Categorized · worked
07
AR Review
30 · 60 · 90 · 120+
08
Collected
Revenue secured
PPO adjustments, underpayments, downgrades, and frequency denials are not just accepted. They are reviewed, appealed when appropriate, and tracked to close the gap between production and collection.
How we work

We do not sit outside your practice. We sit inside it.

HBS works inside your existing dental software, follows your SOPs, and communicates through your channels. You do not need to change how you run. We adapt to you.

— 01

We log into your software.

Open Dental. Dentrix. Eaglesoft. Curve. Denticon. CareStack. We work where you work. No exports, no portals, no "email us the file."

— 02

We follow your workflow.

We learn your SOPs, fee schedules, appointment types, provider notes, write-off rules, payer mix, and office processes. We plug into how you already run.

— 03

We report to your team.

Daily Slack, Teams, or email updates. Weekly KPI review. Monthly working sessions. We function as a department inside your practice, not a vendor on the outside.

— 04

We use your communication tools.

Our team is on your channels. They answer patient calls from your number. They email from your domain. To everyone outside — they are your practice.

The AI + human advantage

AI supports the repetitive work. Humans handle the conversations and decisions.

You do not want a chatbot calling Delta Dental. You do not want AI explaining a $1,200 balance to a confused patient. Neither do we. AI handles the tracking. Humans handle the judgment.

AI-assisted workflows

Automated eligibility checks — coverage pulled in under 30 seconds

Claim scrubbing against payer rules before submission

Call queue monitoring and routing with priority detection

Denial categorization and pattern tracking by payer and reason

Follow-up reminders, task queue management, and deadline tracking

Reporting dashboards — production, collection, AR aging, call volume

Human dental specialists

Patient phone conversations — scheduling, questions, billing support

Insurance verification calls that require live payer interaction

Treatment plan follow-up with empathy and clinical context

Claim appeal narratives and payer escalation calls

PPO write-off review and underpayment appeal decisions

AR judgment calls — which claims to push, which to write off, when to escalate

Insurance verification calls that used to take 18 minutes? Automated eligibility checks pull most of it in under 30 seconds. The 20% that needs a real human voice on the line — we make that call.
What changes

Measurable improvement across every part of dental operations.

Pulled from active dental clients across general, cosmetic, ortho, perio, pediatric, and multi-location practices.

97%

Patient calls answered

Fewer missed calls, fewer lost new patients, fewer voicemails that never get returned.

48hr

Insurance verified ahead

Benefits documented in the chart before the patient sits down. No more chair-side scrambling.

98%

First-pass clean claim rate

CDT-coded, attachment-included, payer-validated claims submitted within 24 hours of the procedure.

25d

AR days from 47-day baseline

Every aging bucket worked. Payer calls made. Re-submissions filed. AR days drop within 90 days.

+24%

Monthly collections lift

Average collections increase across active dental clients — same production, more money in the bank.

$7.5k

PPO write-off recovery

Average recovery in the first 60 days from write-offs that should not have been written off.

The honest comparison

Why not just hire another front desk person?

You already tried. That is why you are reading this. More staff does not automatically fix broken workflows. Let us do the comparison honestly.

Embedded HBS teamHire in-house
Cost structureFlexible — scales with need$42,000-$65,000 salary + benefits
Ramp timeLive in 10-14 business days3-6 month learning curve
Sick days / PTOCross-covered every dayWork stops when they are out
Skills coveredCalls, billing, insurance, AR, admin, recallsOne person, one or two skills
Turnover riskEmbedded long-term, documented SOPs14-month average dental staff tenure
Management loadWe manage the team. They report to you.You manage, train, review, replace
Call volume handlingScales with demand — marketing, seasonsOne person handles what they can
When your one in-house person leaves, all the institutional knowledge leaves with them. With an embedded team, the SOPs are documented, the system runs, and the work continues regardless.
Who this is for

We support dental practices of every size and specialty.

Whether you are a solo practice managing everything yourself or a DSO standardizing operations across locations, HBS adapts to how you work.

Solo Dental Practices

One doctor, small team, wearing every hat

General Dental Clinics

Multi-provider practices with growing volume

Cosmetic Dentists

High-value cases, complex treatment plans

Dental Service Organizations

Multi-location groups needing standardization

Orthodontic Practices

Long treatment cycles, insurance phase tracking

Pediatric Dental Practices

High patient volume, parent communication

Oral Surgery Practices

Pre-authorization, medical cross-coding

Periodontics & Specialty

Frequency limitations, complex payer rules

Multi-Location Groups

Centralized billing, distributed operations

Frequently asked questions

Common questions from dental practices considering HBS.

How does HBS handle inbound calls for my dental practice?+
HBS agents answer calls on behalf of your practice using your phone systems and scripts. Calls are documented inside your practice management software. Scheduling requests, insurance questions, billing inquiries, and treatment questions are handled live or routed to the appropriate team member — so patients never hear 'we'll call you back' unless it is genuinely needed.
What dental software does HBS work with?+
We work inside Open Dental, Dentrix, Eaglesoft, Curve, Denticon, CareStack, and most cloud-based and server-based dental practice management systems. We use your existing software — we do not ask you to switch or export data into a separate portal.
How does dental insurance verification work with HBS?+
We verify insurance 48 hours before each scheduled appointment. Benefits, deductibles, maximums, frequency limitations, waiting periods, and coverage details are documented inside the patient chart. If there is unclear coverage or a plan issue, we flag it before the patient arrives — not at the chair.
Can HBS handle outbound calls like recall and treatment follow-up?+
Yes. We manage recall campaigns, hygiene reactivation, treatment plan follow-up, appointment reminders, no-show callbacks, patient balance follow-up, and new patient inquiry callbacks. All outbound activity is documented inside your system so your team has full visibility.
How does HBS manage dental AR and claim follow-up?+
We work every aging bucket — 30, 60, 90, and 120+ days. Claims are tracked from submission through resolution. Payer follow-up calls are made on pending claims. Denials are categorized and appealed. Payment posting is reconciled. Most dental clients see AR days drop below 25 within 90 days of onboarding.
Does HBS provide remote administrative support for dental offices?+
Yes. We support patient data entry, appointment coordination, form follow-up, documentation management, insurance document collection, referral tracking, daily task queues, and reporting. We become the remote admin layer that handles the operational work your in-office team cannot get to.
How quickly can HBS get started with my dental practice?+
Most dental practices are fully onboarded within 10–14 business days. We complete a workflow audit, learn your SOPs and fee schedules, set up system access, align on communication channels, and begin supporting your daily operations with a named team assigned to your practice.
Is HBS HIPAA compliant?+
Yes. HBS operates under full HIPAA compliance with a Business Associate Agreement (BAA) executed on every engagement. All team members are HIPAA-trained. Data handling follows healthcare security standards. No patient data is stored outside your systems.
Build your dental support team

Send us your production report and aging summary. We will show you where the gap is.

Within 5 business days, we will come back with a free audit showing exactly where revenue is leaking — missed calls, unverified insurance, unworked AR, treatment follow-up gaps — and what we would do about it. No pitch. No pressure. If the audit shows you do not need us, we will tell you.

HIPAA · BAA on every engagement · No long-term contract required
Chat with HBS Support