Billing & Collections Specialist I (Practice)

U.S. Oral Surgery Management; Round Rock (TX); On-site; USD 63,039,000 - 68,770,000; Full time

Job summary

US Oral Surgery Management is seeking a dedicated RCM Billing and Collections Specialist (Claims Specialist) to manage the revenue cycle for our Austin-area clinical partners. You will verify insurance policies and patient demographics, monitor claim transmissions, and support both patients and practices to ensure optimal outcomes and care.

You will work under the Billing and Collections Manager, handling sensitive medical information with HIPAA compliance, and you'll need strong computer

Qualifications

• HIPAA confidentiality and patient privacy required.
• OSHA and safety guidelines adherence.
• Follow office policies diligently.
• Maintain positive rapport with patients and team members.
• Communicate clearly with patients and staff.
• Detail-oriented with accuracy in tasks.
• Adapt to changing duties and schedules.
• Basic math skills and ledger reading ability.
• Active listening and asking relevant questions.
• Strong reading comprehension for medical documentation.

Responsibilities

• Manage the revenue cycle for the clinic's claims.
• Verify insurance policies and patient demographics in the software system.
• Monitor claim transmission success in collaboration with the RCM team.
• Assist patients and practices to achieve optimal outcomes and care.
• Resolve coding or posting discrepancies with minimal supervision.

Skills

Interpersonal skills

Attention to detail

Communication

Flexibility

Mathematical aptitude

Active listening

Reading comprehension

HIPAA knowledge

Education

Insurance Verification experience (1 year)

Dental Billing experience (1 year)

Medical Billing experience (1 year)

Job description

Job Details: Job Location: TX01 Donley Austin - Round Rock, TX 78664, Position Type: FT1, Salary Range: $22.00 - $24.00 Hourly, Austin OMS

POSITION PURPOSE

Join our dynamic team as an RCM Billing and Collections Specialist (Claims Specialist), where you'll play a crucial role in managing the revenue cycle for our clinic in partnership with the RCM team. Under the direct and indirect supervision of the Billing and Collections Manager, you'll ensure the smooth handling of medical and dental claims, verify proper loading of insurance policies and patient demographics to the software system, and monitor efficiency of claims transmission success, supporting both patients and our practices to achieve optimal outcomes and care.

PRINCIPAL RESPONSIBILITIES AND DUTIES

• Tech-Savvy Professional: Utilize your excellent computer skills to efficiently navigate and manage our practice software systems.
• Autonomous Decision-Maker: Exercise discretion and independent judgment to resolve coding/posting discrepancies with minimal supervision.
• Accuracy Enthusiast: Review and send out daily claims ensuring precision and correctness.
• Insurance Liaison: Utilize a detailed and accurate knowledge of insurance to ensure proper claim transmission.
• Portal Pro: Utilize insurance portals accurately to check claim status and enter claims.
• Deadline Achiever: Run and complete required reports and tasks within the given deadlines.

MINIMUM QUALIFICATIONS

• Confidentiality Champion: Always maintain the highest level of confidentiality adhering to HIPAA standards.
• Safety Adherent: Follow strict safety guidelines and procedures according to OSHA and office standards.
• Policy Follower: Adhere to all office policies diligently.
• Interpersonal Dynamo: Maintain a positive rapport with patients and team members through excellent interpersonal skills.
• Clear Communicator: Effectively communicate verbally with patients and staff in a clear and professional manner.
• Detail-Oriented: Work efficiently with a keen eye for detail.
• Flexible Worker: Adapt to changing job duties and work schedules as needed.
• Mathematical Aptitude: Understand basic math and accurately read patient ledgers.
• Active Listener: Demonstrate active listening by fully engaging in conversations, understanding points being made, asking relevant questions, and avoiding inappropriate interruptions.
• Comprehension Expert: Exhibit good reading comprehension by understanding written sentences and paragraphs.

Previous Experience/Education

• Insurance Verification: 1 year (Preferred)
• Dental Billing: 1 year (Preferred)
• Medical Billing: 1 year (Preferred)

ABOUT US ORAL SURGERY MANAGEMENT

By joining US Oral Surgery Management (USOSM), you become part of a dynamic and forward-thinking organization made up of best-in-class Oral and Maxillofacial practices. Together, we have the POWER to achieve more, by creating a positive impact on the communities we serve and reinforcing our position as a top leader in the industry. We believe in the POWER of teamwork, where every member contributes to our collective success. Whether you're in clinical operations, administration, support services, etc., your role is crucial to achieving our shared mission: fueling innovation and clinical excellence, while driving worthwhile outcomes for our practices.

• Passion for Patient Care
• Outstanding Results
• Winning Attitude
• Embracing Continuous Improvement
• Respect for Self and Others

Please note, this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.