Billing Specialist

Oral Surgery Partners; Shelby Township (MI); Remote; USD 43,000 - 65,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

HSA-eligible medical plans

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

Voluntary Life and AD&D

Voluntary Short‑Term Disability

Dependent Care FSA

401(k) with employer contributions and

PTO and holidays

Job summary

Alamat Oral Surgery Group is seeking a Billing Specialist to manage the billing and reimbursement process for oral surgery procedures. This remote role requires residency in the Eastern or Central Time Zones in the United States.

You will verify insurance, submit claims, follow up on denials, and report AR trends to leadership. The position is entry-to-intermediate with a focus on claims processing, insurance coordination, and adherence to payer guidelines.

Qualifications

• High School Diploma or equivalent is required.
• Associate degree or certification in medical billing or coding is preferred.
• Experience in dental or medical billing, especially oral surgery billing, is desirable.

Responsibilities

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

Skills

Insurance verification

Claims processing

Accounts receivable

Communication skills

Attention to detail

Education

High School Diploma or equivalency

Associate’s degree or certification in medical billing or coding

Tools

WinOMS

DSN

Sensei

Job description

Shelby Township, Michigan, United States

Title: Billing Specialist
Practice: Alamat Oral Surgery Group
Work Type: Remote – Candidates must reside within the Eastern (ET) or Central (CT) Time Zones to be considered for this position.

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.

Voluntary Self‑Identification

For government reporting purposes, we ask candidates to respond to the below self‑identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.

As set forth in Oral Surgery Partners’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service‑connected disability.

A "recently separated veteran" means any veteran during the three‑year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.