# Dental Groups Turn to Remote Teams for Front-Office and Billing Work

By MarketScale Newsroom · Published 2026-09-11 · Business Services on MarketScale
Canonical: https://www.marketscale.com/industries/business-services/dsos-are-copying-bayers-dso-playbook-just-with-offshore-teams

> A Sept. 8 Group Dentistry Now report details how DSOs are assigning remote teams to reactivation, verification and claims workflows amid staffing pressure.

## Key points

- 59.3% of DSO dentists cited staffing challenges as a concern heading into 2026, with 20.7% reporting inadequate administrative staff and 58% finding recruitment extremely challenging
- Nearly 20% of claims are denied with 60% of returned claims never resubmitted; 26% of healthcare revenue-cycle leaders attribute at least 10% of denials to inaccurate or incomplete patient intake information
- Remote patient reactivation case study: a 90-day program for a DSO with 100+ locations generated 2,514 live conversations resulting in 701 scheduled appointments, as DSOs move remote teams into defined operational lanes rather than generic call-center overflow

A sponsored report published Sept. 8, 2026 in Group Dentistry Now describes a shift underway in multi-site dentistry: dental service organizations (DSOs) are placing remote team members into defined operational lanes, such as patient reactivation, insurance verification, and claims follow-up, rather than treating them as a generic overflow call center.

## Staffing data behind the shift

The report cites American Dental Association Health Policy Institute figures showing that heading into 2026, 59.3% of DSO dentists identified staffing challenges as a concern. It also cites ADA data indicating 20.7% of dentists said they lacked adequate administrative staffing, and that more than 58% of dentists who recently tried to recruit administrative staff described the process as very or extremely challenging.

Group Dentistry Now frames this as a capacity issue that grows more acute as a DSO adds locations, since a small set of front-desk roles typically handles scheduling, eligibility checks, and early claims tasks alongside patient flow.

## Denials and intake data cited in the report

The Journal of AHIMA has reported that nearly 20% of claims are denied and that as many as 60% of returned claims are never resubmitted. Separately, Experian's 2025 State of Claims report found that 26% of surveyed healthcare revenue-cycle leaders said inaccurate or incomplete information collected at patient intake accounted for at least 10% of denials. Group Dentistry Now uses these figures to argue that verification, claims submission, and denial follow-up should each have a named owner and turnaround expectation, regardless of whether that work is performed onshore or through a remote team.

## A cited reactivation case study

Group Dentistry Now reports a case example from SupportDDS, a vendor that provides remote staffing to dental groups: a 90-day patient reactivation program run for a DSO with more than 100 locations. According to the report, the program produced 9,906 outreach attempts and 2,514 live conversations, resulting in 701 scheduled appointments (649 hygiene, 52 treatment). The report states 501 of those appointments were booked during the initial conversation and 200 came from follow-up outreach.

## A separate management-model reference

The Group Dentistry Now report draws a loose parallel to Bayer's Dynamic Shared Ownership (DSO) model, an unrelated pharmaceutical management restructuring. Forbes reported in January 2024 that Bayer introduced the model to reduce management layers following stock declines and setbacks in its Crop Science division. MIT Sloan Management Review has reported that under the model, Bayer reduced management layers from as many as 13 to as few as three in some areas, and that teams operate in 90-day cycles focused on outcomes. The pharmaceutical restructuring and the dental staffing trend are separate developments; Group Dentistry Now's comparison is limited to the shared use of the term and a shared emphasis on shorter accountability cycles.

## MarketScale analysis

For DSO operations leaders evaluating remote-team vendors, the cited data suggests two practical questions: whether a vendor can show traceability from intake accuracy through to denial outcomes, and whether contracts specify outcome measures, such as completion rates on assigned patient lists, rather than only volume metrics like calls placed. These are reasonable questions raised by the cited reporting, not independently verified outcomes.

## Sources

- [How Global Teams Are Becoming Part of the DSO Operating Model](https://www.groupdentistrynow.com/dso-group-blog/dso-call-center-2/) (Group Dentistry Now)
- [How Bayer's Dynamic Shared Ownership Just Might Be A Flat Army](https://www.forbes.com/sites/danpontefract/2024/01/20/how-bayers-dynamic-shared-ownership-just-might-be-a-flat-army/) (Forbes)
- [Leaders at All Levels: How Bayer Simplified to Unleash Innovation](https://sloanreview.mit.edu/video/leaders-at-all-levels-how-bayer-simplified-to-unleash-innovation/) (MIT Sloan Management Review)
- [Healthcare claim denials statistics: State of Claims report](https://www.experian.com/blogs/healthcare/healthcare-claim-denials-statistics-state-of-claims-report/) (Experian)
- [Claims denials: A step-by-step approach to resolution](https://journal.ahima.org/page/claims-denials-a-step-by-step-approach-to-resolution) (Journal of AHIMA)

Tags: DSO, dental service organizations, revenue cycle management, staffing, SupportDDS

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