Every Service Your Revenue Cycle Needs — Under One Roof
From the moment a patient schedules an appointment to the final dollar collected, SmileHaus Billing manages every step of your dental revenue cycle with precision and expertise.
Our comprehensive dental RCM services are designed to work together as a complete system — eliminating the gaps and inefficiencies that cost practices thousands of dollars every month.
Comprehensive Dental RCM Services
Insurance Verification (VOI)
Eliminate surprises before they happen
Our real-time insurance verification service confirms patient eligibility, benefits, and coverage details before every appointment. We check deductibles, maximums, waiting periods, frequency limitations, and missing tooth clauses — so your team can present accurate treatment estimates and your claims go out clean the first time.
- Same-day eligibility verification
- Detailed benefits breakdown
- Frequency and limitation checks
- Reduces claim rejections at source
- Improves patient financial conversations
Dental Billing
Accurate claims. Maximum reimbursement.
Our certified dental billing specialists review every claim for accuracy before submission — verifying CDT codes, narratives, attachments, and payer-specific requirements. We submit electronically within 24 hours of treatment, dramatically accelerating your reimbursement timeline.
- CDT code accuracy review
- Narrative and attachment management
- Electronic submission within 24 hours
- Payer-specific requirement compliance
- Secondary billing included
Accounts Receivable (AR) Recovery
Recover revenue you thought was gone
Our AR recovery specialists systematically work through your aging insurance balances — from 30-day claims to accounts that have been sitting for years. We use proven follow-up protocols, payer escalation paths, and appeal strategies to recover every recoverable dollar.
- Systematic aging bucket management
- Payer escalation protocols
- Recovery of aged balances 90-365+ days
- Monthly AR reduction reporting
- Average 35% AR reduction in 90 days
Denial Management
Turn denials into paid claims
Every denied claim is an opportunity — if you know how to respond. Our denial management team performs root-cause analysis on every denial, files timely appeals with supporting documentation, and tracks denial patterns to prevent recurrence. We target a denial rate under 5%.
- Root-cause analysis on every denial
- Timely appeal filing with documentation
- Denial pattern tracking and prevention
- Payer-specific appeal strategies
- Target: <5% denial rate
Claims Follow-up
Persistent pursuit of every dollar
Submitted claims don't always pay themselves. Our follow-up team contacts payers on every outstanding claim at regular intervals — checking status, resolving holds, and escalating when necessary. No claim falls through the cracks.
- Systematic follow-up at 14/30/45 days
- Payer status checks and escalation
- Hold and pending claim resolution
- Real-time claim status tracking
- Zero tolerance for aged unpaid claims
Monthly Reporting & KPI Dashboards
Complete visibility into your revenue cycle
Our custom monthly reports and real-time KPI dashboards give you complete visibility into your practice's financial performance. Track collections rate, denial rate, AR aging, clean claim rate, and more — with actionable insights from your dedicated account manager.
- Custom monthly performance reports
- Real-time KPI dashboard access
- Collections rate and trend analysis
- AR aging breakdown by payer
- Actionable insights and recommendations
Additional Services
Payment Posting
Accurate books. Zero reconciliation headaches.
Our payment posting specialists accurately post all insurance and patient payments — including EOBs, ERAs, and manual checks — with same-day turnaround. We reconcile every payment to the penny, keeping your books clean and your reporting accurate.
- Same-day ERA and EOB posting
- Manual check processing
- Accurate contractual adjustment posting
- Patient balance identification
- Daily reconciliation reports
Credentialing Support
Stay in-network. Keep billing without interruption.
Provider credentialing delays cost practices thousands in lost revenue. Our credentialing support team manages the entire process — initial credentialing, re-credentialing, and CAQH profile maintenance — to keep your providers in-network and billing without interruption.
- Initial provider credentialing
- Re-credentialing management
- CAQH profile maintenance
- Credentialing status tracking
- Multi-payer coordination
Insurance Aging Cleanup
Clear the backlog. Start fresh.
Inherited a billing mess? Our insurance aging cleanup service systematically works through your entire aged AR — identifying recoverable balances, filing appeals, and resolving outstanding claims. We've helped practices recover hundreds of thousands from accounts they'd written off.
- Full AR audit and assessment
- Systematic aged balance recovery
- Write-off analysis and recommendations
- Payer dispute resolution
- Clean slate for ongoing billing
PPO & Medicaid Billing
Specialized expertise for complex payers
PPO fee schedule management and Medicaid billing require specialized knowledge that generic billing companies don't have. Our team understands the nuances of PPO contractual adjustments, Medicaid prior authorization requirements, and state-specific billing rules.
- PPO fee schedule management
- Medicaid prior authorization support
- State-specific billing compliance
- CHIP and dual-eligible billing
- Medicaid credentialing assistance
Claim Submission
Clean claims. Fast reimbursement.
We handle the complete claim submission process — from claim creation and scrubbing to electronic submission and confirmation. Every claim is reviewed for accuracy, completeness, and payer-specific requirements before it leaves our system.
- Claim creation and scrubbing
- Electronic submission to all payers
- Submission confirmation tracking
- Attachment management
- Clearinghouse management
Revenue Cycle Management
The complete RCM solution
Our full Revenue Cycle Management service combines all of our individual services into a seamless, end-to-end solution — from insurance verification through final payment posting. One team, one point of contact, complete accountability for your entire revenue cycle.
- End-to-end RCM management
- Single point of accountability
- Dedicated account manager
- Integrated reporting across all services
- Scalable for any practice size
How We Work
A proven onboarding process that gets you results in 30 days or less.
Free Assessment
We analyze your current billing performance, identify revenue leakage, and present a clear picture of what we can improve.
Seamless Onboarding
Our team integrates with your practice management software and establishes workflows — typically live within 5-7 business days.
Active Management
Your dedicated account manager takes over your revenue cycle, submitting claims, following up, and reporting results weekly.
Continuous Optimization
Monthly KPI reviews, denial pattern analysis, and proactive recommendations keep your revenue cycle improving month after month.
Not Sure Which Services You Need?
Schedule a free billing assessment and we'll identify exactly where your practice is losing revenue — and how to get it back.
Get a Free Billing Assessment