For dental practices, DSOs & cosmetic dentists

You produced $180,000 last month. You collected $128,000.That gap is the problem.

Treatment is happening. Patients are saying yes. Production looks great on the report. But somewhere between the chair and the bank, your collections are leaking — and your front desk is too buried to chase it.

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.

— Production vs. Collection · 90-day view

PRODUCTION
$180k
BEFORE HBS
$128k
WITH HBS
$172k
71% COLLECTION RATE96% COLLECTION RATE
— RECOVERED MONTHLY
$44,000 — the gap, closed.
The Tuesday morning everyone in dental knows

You already know how this goes.

It's Tuesday. The schedule is packed. You're three minutes behind on every patient.

Your front desk is on hold with Delta Dental — again — trying to verify a benefit for a patient who walked in fifteen minutes ago. The new hygiene patient is sitting in the waiting room with a clipboard nobody has time to review. The phone keeps ringing because somebody else is also trying to confirm coverage.

Meanwhile, last month's claims? Still sitting. The PPO write-offs from January are confusing. The aging report has buckets in 90+ that nobody's touched since the office manager went on maternity leave. Your last hygiene block had two openings that didn't 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
Production looks good. Collection doesn't.
You're producing $X and collecting 70-80% of it. Industry benchmark is 98%. That gap is somebody's salary — maybe two.
20pt gap = $$$
02
Insurance verification is killing your front desk.
Average call to a payer is 12-18 minutes. Multiply by 30 patients a day. They're on the phone more than with patients.
~6 hrs/day lost
03
PPO write-offs are quietly bleeding you.
You're writing off contracted amounts you should be appealing. Nobody has the bandwidth to dig into it.
$4-11k/month
04
AR is aging in silence.
Claims past 60 days have a 30% lower collection rate. Yours are sitting in 90+ and nobody's working them.
30% recovery loss
05
Treatment plans are getting delayed by paperwork.
Same-day acceptance is shrinking because patients don't have clarity on coverage. Estimates are guesses.
-12% acceptance
06
Hygiene recall is a leaky bucket.
Every unfilled hygiene block is ~$200 in lost production. You have unfilled blocks every week. Do the math.
~$3-5k/month
07
You keep hiring. They keep leaving.
You trained the last biller for six months. She left for a $4/hour raise. You're back to square one.
$22k / hire
What's actually happening behind the scenes

You don't have a marketing problem. You have an operational throughput problem.

You think you have a marketing problem. You think you have a hygiene problem. You think you have a front desk problem.

You don't. You have an operational throughput problem.

Your practice is producing more than your back office can clean up. And the more you grow, the wider the gap gets. Here's what it looks like in real numbers, in a typical 3-doctor dental practice:

  • Claims submitted with at least one error25-30%
  • Recoverable AR sitting past 90 days$8-15k
  • Monthly production lost to unfilled hygiene$3-5k
  • Front desk time spent on verification calls15-25 hrs/wk
  • Treatment plans lost to coverage confusion12-18%
That's not a staffing problem you fix by posting on Indeed. That's an operational layer your practice is missing.
— Our model

We don't replace your team. We're the back office your team has been begging for.

Hired Billing Support gives you a dental-trained remote operations team that lives inside your practice management software. Same usernames. Same workflows. Same SOPs. They show up Monday morning ready to verify, bill, follow up, and close claims — and they don't take PTO during your busiest week.

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

The difference: you didn't have to hire them, train them for six months, or watch them leave for $4 more an hour.

What we run for your practice

The full dental operational stack.

Pick the layers you need. Run one service, or hand us the entire back office.

Insurance verificationFull breakdown of benefits 48 hours before the appointment. Maximums, deductibles, frequency limits, downgrades, missing tooth clauses, waiting periods — all documented in the chart before they sit down.
Eligibility & estimatesReal, accurate treatment estimates at presentation. No more "we'll call you" — patients accept treatment the same day.
Dental billing & claimsCDT-coded, X-ray-attached, narrative-included claims submitted within 24 hours of the procedure. Clean-claim rate above 98%.
PPO write-off recoveryWe audit your fee schedules against actual EOBs. We find write-offs that shouldn't have been written off. We re-submit and appeal.
AR follow-upWe work every aging bucket — 30, 60, 90, 120+. Payer calls, re-submissions, narrative appeals. Most clients see AR days drop below 25 within 90 days.
Denial managementEvery denial is categorized, prioritized, and appealed by a specialist who knows the payer playbook. Not your office manager Googling "downgrade appeal letter."
Payment postingEOBs posted accurately and reconciled daily. No more end-of-month surprises.
Patient billingStatements sent on schedule. Patient calls answered with empathy and clarity. Balances followed up without making patients feel hounded.
Front desk reliefPhones, scheduling, recall, hygiene reactivation, new patient intake. Either virtual coverage or full takeover — your call.
Hygiene recallWe work your recall list. Inactive patients get reactivated. Unfilled blocks get filled. Production goes up without you adding a chair.
How we work

We don't sit outside your practice. We sit inside it.

— 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. We plug into how you already run.

— 03

We report to your office manager.

Daily Slack, Teams, or email. Weekly KPI review. Monthly working session. We function as a department, not a vendor.

— 04

We use your communication tools.

Our team is on your channels. They join huddles if you want. They email patients from your domain. To everyone outside, they are your practice.

The AI + human advantage

AI does the lifting. Humans do the thinking.

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.

Claim scrubbing? Every claim validated against payer rules before it goes out. First-pass clean rate above 98%.

Denials? Categorized and routed to the right specialist queue within minutes — not weeks of sitting in someone's "to-do" pile.

You don't want a chatbot calling Delta Dental. You don't want AI explaining a $1,200 balance to a confused patient. Neither do we.

— AI handles
— Humans handle
Eligibility checks 30 seconds, automated
Peer-to-peer calls complex, judgment-driven
Claim scrubbing payer-rule validated
Narrative appeals specialty-trained
Denial categorization routed in minutes
Patient conversations tone, empathy, clarity
Document classification indexed automatically
PPO contract analysis recover write-offs
By the numbers

What changes in the first 90 days.

Pulled from active dental clients across general, ortho, perio, and cosmetic practices.

+24%
Average monthly collections lift across active dental clients.
25d
AR days dropped from a 47-day baseline within 90 days.
98%
First-pass clean-claim rate on submitted dental claims.
$7.5k
Average PPO write-off recovery in the first 60 days.
Remote staffing solution by HBS has freed the resources of the HBS, enabling us to spend more time at the bedside and enhance the efficiency of the whole process.
AF
Dr Afreen Sheikh
Internal Medicine
The honest comparison

Why not just hire an in-house biller?

You already tried. That's why you're reading this. Let's do the math out loud.

In-house biller
Embedded HBS team
$48,000-$68,000 salary
Percentage of collections — we earn it back
+ benefits, PTO, training, payroll tax
No overhead, no benefits, no taxes
6-month learning curve
Live in 10-14 business days
Out sick = work stops
Cross-covered every day
One person, one perspective
Specialist team — billing, AR, verification, appeals
14-month average tenure
Embedded long-term, no turnover risk
You manage them
They report to you. We manage them.
And the part nobody talks about: when your one in-house biller leaves, all the institutional knowledge leaves with them. With an embedded team, the SOPs are documented, the system runs, and the work continues regardless.
Let's look at your numbers

Send us last month's report. We'll show you the leak.

Send your production summary and aging report. Within 5 business days, we'll come back with a free audit showing exactly where the gap is — and what we'd do about it. No pitch. No pressure. If the audit shows you don't need us, we'll tell you.

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