Billing & Collections Specialist I (Practice)

Austin Oral Surgery; Round Rock (TX); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Healthcare benefits

Job summary

US Oral Surgery Management is seeking a Revenue Cycle Management Billing and Collections Specialist to manage medical and dental claims for our Round Rock clinic. You will verify insurance policies and patient demographics in our software, monitor claim transmissions, and support patients and practices toward optimal care and financial outcomes.

Under supervision, you will resolve discrepancies, ensure accurate posting, and run required reports within deadlines, contributing to efficient revenue

Qualifications

• HIPAA compliant data handling
• Clear and professional patient communication
• Attention to detail in billing and posting
• Knowledge of insurance processes and claim rules
• Familiarity with dental/medical billing workflows
• Ability to load and verify patient demographics accurately

Responsibilities

• Manage revenue cycle processes for dental/medical claims.
• Verify insurance coverage and patient demographics in the system.
• Monitor and improve claim transmission success and timeliness.
• Review and post coding for accuracy and consistency.
• Use portals and software to check claim status and resubmit as needed.
• Prepare reports and complete tasks within deadlines.

Skills

HIPAA compliance

Excellent communication

Detail oriented

Medical/dental billing

Insurance verification

Office software proficiency

Tools

Practice management software

Job description

Austin OMSPOSITION PURPOSEJoin 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 DUTIES1. Tech-Savvy Professional: Utilize your excellent computer skills to efficiently navigate and manage our practice software systems.2. Autonomous Decision-Maker: Exercise discretion and independent judgment to resolve coding/posting discrepancies with minimal supervision.3. Accuracy Enthusiast: Review and send out daily claims ensuring precision and correctness.4. Insurance Liaison: Utilize a detailed and accurate knowledge of insurance to ensure proper claim transmission.5. Portal Pro: Utilize insurance portals accurately to check claim status and enter claims.6. Deadline Achiever: Run and complete required reports and tasks within the given deadlines.MINIMUM QUALIFICATIONSConfidentiality 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:1. Insurance Verification: 1 year (Preferred)2. Dental Billing: 1 year (Preferred)3. Medical Billing: 1 year (Preferred)ABOUT US ORAL SURGERY MANAGEMENTBy 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.Our POWER Values form the foundation of our ability to deliver exceptional healthcare experiences and achieve sustainable growth.Passion for Patient CareOutstanding ResultsWinning AttitudeEmbracing Continuous ImprovementRespect for Self and OthersPlease 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.