Insurance Specialist

Paycom - ATS; Victoria (TX); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Competitive compensation

Opportunities for professional growth

Job summary

Victoria Oral & Maxillofacial Surgery is seeking an Insurance Specialist to support patients and the clinical team in a fast-paced Victoria, TX office. You will verify eligibility, secure authorizations, prepare estimates, submit claims, and follow up on denials while communicating clearly with patients.]

Ideal candidates have dental or medical insurance experience, strong organizational skills, and the ability to manage multiple cases while ensuring HIPAA compliance and excellent service.

Qualifications

• Dental or medical insurance experience required.
• Experience with verification, authorizations, claims, and denial follow-up.
• Oral surgery insurance/billing experience strongly preferred.
• Attention to detail and ability to meet deadlines.

Responsibilities

• Verify insurance eligibility and benefits before appointments.
• Obtain prior authorizations and referrals.
• Prepare treatment estimates and explain patient costs.
• Submit and follow up on claims and denials.
• Maintain accurate patient insurance records.

Skills

Insurance verification

Authorization handling

Claims follow-up

Attention to detail

Patient service

Job description

Insurance SpecialistVictoria Oral & Maxillofacial Surgery Location: Victoria, TX Employment Type: Full-TimeAbout UsVictoria Oral & Maxillofacial Surgery is committed to providing high-quality surgical care in a welcoming, professional environment.Our team works together to ensure every patient feels informed, comfortable, and supported throughout their treatment.Position OverviewWe are seeking an organized, detail-oriented Insurance Specialist to support our patients and clinical team. This role handles insurance verification, benefit estimates, authorizations, and claims follow-up. The ideal candidate has dental or medical insurance experience, communicates clearly with patients, and is comfortable managing multiple cases at once. Oral surgery experience is strongly preferred.Key ResponsibilitiesVerify medical and dental insurance eligibility, benefits, and coverage before appointmentsObtain required prior authorizations and referralsPrepare accurate treatment estimates and explain insurance benefits and expected patient costsSubmit claims with the required documentation and follow up on unpaid or denied claimsReview explanations of benefits, resolve claim discrepancies, and process appeals when neededCommunicate with insurance carriers, patients, and team members to resolve coverage and billing questionsMaintain accurate insurance information and notes in patient recordsWork closely with the clinical and front-office teams to support timely scheduling and a smooth patient experienceProtect patient information and follow HIPAA requirementsQualificationsPrevious dental or medical insurance experience requiredExperience with insurance verification, authorizations, claims, and denial follow-upOral surgery insurance or billing experience strongly preferredFamiliarity with both medical and dental benefits preferredStrong attention to detail and ability to manage competing deadlinesClear, professional communication and patient-service skillsDependable and comfortable working in a fast-paced officeBenefitsEligible full-time employees may receive:Competitive compensationHealth insurancePaid time offOpportunities for professional growth and developmentIf you enjoy solving insurance issues and helping patients understand their coverage, we encourage you to apply. We look forward to learning more about you!Equal Employment OpportunityVictoria Oral & Maxillofacial Surgery is an Equal Employment Opportunity employer. We consider qualified applicants for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law. Reasonable accommodations are available to qualified individuals with disabilities throughout the application and employment process.