Independent Contractor Submission for Dental Billing Service Subcontracted Projects.

Dental Claims Cleanup subcontracts dental billing services to qualified independent dental billing contractors to service our client's needs. Please fill out the submission form. We review all the inquiries and will reach out to schedule a Facetime or Skype conference call. This is a secure form and follows our confidentiality guidelines.

Filing Date*

First Name*

Last Name*

Date of Birth*

email address*

phone*

Please provide your full residential/home business address.*

Street, State, City, Zip Code

dental software proficiency*

Please tell us what dental software you have worked with and # of years (ex: Dentrix-4, Softdent-2 etc)

Areas of expertise*

Select or enter value

Your Hourly Rate for Dental Billing Service?*

Dental Billing Service Contractor Status & Intent*

Select

Weekly Availability for Work Order Projects?*

Tell us what your operational hours are including time zone (ex: Wed-Fri 7-5EST, Mon-4-8pmEST)

Daytime(8-6pm) Days/Hours You Are Available*

We require at least 60-75% of your work time to be during insurance business hours between 8am-6pm EST. Please tell us what daytime days and times you are available for work.

Your maximum Hours for Work Order Projects?*

Available date to accept a dental billing project?*

What is your earliest availability to start your first dental billing service Work Order Project contract? If you need to work out your 2-week notice with previous employers please let us know. Please make sure you have your Federal Tx ID to start contracts with us.

Work Availability for the next 3 weeks*

Tell us the exact hours and dates that you are available for the next 3 weeks if you are given a contract.

Date you are available to discuss this subcontract*

When are you available for the interview. Please tell us the date.

time with time zone*

What time are you available for an interview (time zone EST, CMT, PCT)

We would like to set up a video conference call to discuss this subcontracting opportunity.*

Please let us know which form of video conference call you have available and list the phone number for Facetime and skype name for Skype (ex: Facetime/-315-456-6789 or Skype/bestdentalbiller)

Select or enter value

Attachments: Resumes/Your Company Profile/Dental Billing Proficiency*

Please submit more information for our consideration of you and your company for the upcoming dental billing Work Order Project Contracts.

Drag and drop files here or

Privacy Notice|Report Abuse