Dental Billing & Arbitration Lead

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! ✨