Billing Specialist

oralsurgerypartners; Shelby Township (MI); Presencial; USD 45.000 - 65.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, Dental, and Vision Insurance

Health Savings Account eligibility

Company-paid Life, AD&D, and Long-Term

Voluntary Life and AD&D

Voluntary Short-Term Disability

Dependent Care FSA

401(k) with employer match

PTO and 8 paid holidays

Descripción de la vacante

Alamat Oral Surgery Group in Shelby Township, MI is seeking a Billing Specialist to manage the billing and reimbursement process for oral surgery procedures. You will verify insurance coverage, code claims, submit claims, and follow up on unpaid balances with a focus on accuracy and timely payments.

The ideal candidate has 2+ years of dental or medical billing experience, familiarity with ICD-10, CPT, and CDT coding, and strong organizational and communication skills to coordinate with patients

Formación

• High School Diploma or equivalency, required.
• Associate's degree or certification in medical/billing or coding, preferred.
• Minimum of 2 years of experience in dental or medical billing (experience in oral surgery billing preferred).
• Knowledge of ICD-10, CPT, and CDT coding.
• Familiarity with dental/medical billing software (e.g., WinOMS, DSN, Sensei, etc).
• Knowledge of medical and dental insurance processes, including coordination of benefits.

Responsabilidades

• Verify patient insurance eligibility and benefits before procedures.
• Obtain prior authorizations for oral surgery procedures when needed.
• Coordinate benefits between medical and dental insurance plans.
• Accurately verify codes and submit claims using ICD-10, CPT, and CDT codes.
• Ensure compliance with payer guidelines and regulatory requirements.
• Resolve discrepancies or denials in a timely manner.
• Monitor aging reports and follow up on outstanding claims.
• Communicate with insurance companies to resolve claim issues or delays.
• Post insurance payments and adjustments accurately.
• Prepare and send patient statements for balances owed.
• Help to handle patient billing inquiries and explain charges or insurance denials.
• Maintain accurate records of billing activities and insurance correspondence.
• Generate regular reports on accounts receivable, claims status, and payment trends.

Conocimientos

Billing & reimbursement

Insurance verification

ICD-10 coding

CPT coding

CDT coding

Communication skills

Attention to detail

Educación

Associate's degree or medical billing/coding certification

High School Diploma or equivalency

Herramientas

WinOMS

DSN

Sensei

Descripción del empleo

Title: Billing Specialist

Practice: Alamat Oral Surgery Group

Location: Shelby Township, MI

Hours

• Monday: 8:30 AM - 5:00 PM
• Tuesday: 8:30 AM - 5:00 PM
• Wednesday: 8:30 AM - 5:00 PM
• Thursday: 8:30 AM - 5:00 PM
• Friday: 8:00 AM - 4:00 PM

Position Purpose

The Oral Surgery Billing Specialist is responsible for managing the billing and reimbursement process for oral surgery procedures. This may include verifying insurance coverage, coding claims accurately, submitting claims, following up on unpaid claims, and ensuring timely payments. The ideal candidate will have a strong understanding of oral surgery billing practices, dental and medical insurance processes, and exceptional attention to detail.

This is an entry-to-intermediate-level billing position designed for individuals with foundational to moderate experience in dental or medical billing who enjoy hands-on claims processing, insurance follow-up, and accounts receivable management.

Essential Functions

Insurance Verification and Coordination

• Verify patient insurance eligibility and benefits before procedures.
• Obtain prior authorizations for oral surgery procedures when needed.
• Coordinate benefits between medical and dental insurance plans.

Claims Submission and Management

• Accurately verify codes and submit claims using ICD-10, CPT, and CDT codes.
• Ensure compliance with payer guidelines and regulatory requirements.
• Resolve discrepancies or denials in a timely manner.

Accounts Receivable Management

• Monitor aging reports and follow up on outstanding claims.
• Communicate with insurance companies to resolve claim issues or delays.
• Post insurance payments and adjustments accurately.

Patient Billing and Communication

• Prepare and send patient statements for balances owed.
• Help to handle patient billing inquiries and explain charges or insurance denials.

Documentation and Reporting

• Maintain accurate records of billing activities and insurance correspondence.
• Generate regular reports on accounts receivable, claims status, and payment trends and report those to practice leader and RCM advisor.

Qualifications

Education/Certification

• High School Diploma or equivalency, required.
• Associate's degree or certification in medical/billing or coding, preferred.

Experience

• Minimum of 2 years of experience in dental or medical billing (experience in oral surgery billing preferred).
• Knowledge of ICD-10, CPT, and CDT coding.
• Familiarity with dental/medical billing software (e.g., WinOMS, DSN, Sensei, etc).
• Knowledge of medical and dental insurance processes, including coordination of benefits.

Performance Requirements

• Strong organizational skills
• Excellent communication and customer/patient-service capabilities.
• Ability to handle multiple tasks
• Ability to work in fast-paced environment
• Analytical and detail-oriented
• Able to work independently with exceptional initiative and sound judgment
• Ability to handle sensitive information confidentially.
• Positive attitude, change advocate, able to lead by example

What we do for you

We offer Medical, Dental, and Vision Insurance plans to our full-time employees.

Two out of the three medical plans offered include Health Savings Account (HSA) eligibility.

Company-paid Life, AD&D and Long-Term Disability coverage.

Additional Voluntary Life and AD&D Insurance for you and your family!

Voluntary Short-Term Disability Insurance available to you as well

Dependent Care Flexible Spending Account (FSA) offered.

Immediately begin saving for retirement through our 401(k) starting with very first paycheck!

Employer 401(k) contribution and Profit Sharing after six months of employment

PTO and 8 Paid holidays for fulltime employees!

DISCLAIMER

The above statements are intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. OPS's management reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.