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"Just because you've always done it in the past doesn't mean it was done well. You need to get your mindset in a new light." - Zach Shelley Outsourcing isn't new—it's been a business strategy for 40+ years. Yet dental practices treat it like the plague. Why? Failed expectations, poor communication, and companies that over-promised and under-delivered. In this conversation, Zach Shelley (Office Manager turned President of Zero Dental Billing) reveals both sides of outsourcing: what works, what fails, and how to make remote teams an extension of your practice—not a replacement. If your front desk is drowning in insurance calls, recall is falling through the cracks, or you can't keep someone in the billing position, this conversation will change how you think about staffing. 📚 What You'll Learn: ✅ Why outsourcing has been wildly misunderstood in dentistry (and why it's not new) ✅ The $20K solution: Can you hire someone for that price? (Spoiler: That's what outsourcing costs—with no payroll taxes, PTO, or benefits) ✅ How remote insurance teams freed in-house staff to become treatment coordinators ✅ Why your team is LESS insurance-motivated when they're not on hold for 2 hours with Delta ✅ The #1 reason outsourcing fails: Expectations not set from day one (provider AND consumer) ✅ Communication strategies: Daily greetings, instant messaging, and weekly meetings with doctors ✅ Onboarding mistakes: Why asking the right questions determines success or failure ✅ The "Ham Story": Why "we've always done it this way" is killing your efficiency ✅ What to outsource: Insurance verification, billing, recall, phones, executive assistant tasks ✅ How to handle team pushback: "This is how we've always done it" vs. toxic positivity ⏰ Key Timestamps: 0:00 - Florida freeze: Zach made a snow machine for his kids 1:42 - Shameless plug: Dental Office Manager Leadership Network (DOMLN) approaching 20K members 3:09 - Why outsourcing has been vilified (and why it's actually a 40-year-old business strategy) 4:59 - Laura's outsourcing origin story: Constant turnover in the insurance position 5:28 - The surprising benefit: Less insurance-motivated treatment presentations 7:36 - Doctors only look at monthly costs, not ROI: The $400/month filling math 8:00 - Zach's new role: President of Zero Dental Billing 9:46 - Why outsourcing fails: Expectations, systems, and over-promising 12:30 - The onboarding trap: Companies that force their processes vs. adapting to yours 13:08 - Setting the bar low: Why "clunky first weeks" lead to long-term success 14:42 - Communication is everything: Daily greetings and instant messaging vs. chatbots 16:16 - Remote bonding: Why daily check-ins matter when you can't turn around and say "Good morning" 17:00 - Weekly meetings with doctors: Tracking progress, cashflow, and team accountability 17:50 - Onboarding from the office side: Ask the right questions or fail 20:43 - Start with ONE service, not a premium suite: Tactical implementation wins 21:29 - Overcoming pushback: "We tried it before and it didn't work" 22:52 - The Ham Story: Cutting the ends off because it's always been done that way 23:22 - Toxic positivity: Accepting systems without challenging them 24:28 - Give it a fair shot: Demo different companies, ask why it failed before 25:06 - Patience: You don't expect new hires to be perfect day one—why expect it from remote teams? 👤 Who Is Zach Shelley? Zach Shelley is a dental practice management expert, former Office Manager, co-host of Management Unfiltered (with Kirk Teachout), and President of Zero Dental Billing. He founded the Dental Office Manager Leadership Network (DOMLN) on Facebook, which is approaching 20,000 members and has over 90% engagement—one of the most active dental communities online. Zach's expertise spans operations, outsourcing, insurance billing, team leadership, and building systems that scale. 🔥 Why This Matters: Most practices are drowning in administrative tasks that steal time from patient care. Insurance verification. Billing. Recall calls. These aren't doctor-level tasks—yet they consume your highest-paid team members' time. Outsourcing isn't about replacing your team; it's about freeing them to do what they do best: build relationships, coordinate treatment, and create memorable patient experiences. This conversation breaks down the real barriers (expectations, communication, onboarding) and gives you a framework to make remote teams work.