Oral Surgery Billing and Reimbursement Specialist

St. Louis South Oral Surgery; Sunset Hills (MO); On-site; USD 42,000 - 65,000; Full time

Job summary

St. Louis South Oral Surgery is seeking a detail‑oriented Billing Specialist to join our revenue team. You will verify insurance benefits, obtain pre-authorizations when needed, and explain coverage to patients prior to treatment.

The role includes submitting and tracking claims for oral surgery procedures, generating statements, and helping patients understand charges. We value accuracy, collaboration with surgeons and staff, and staying compliant with HIPAA and payer policies.

Qualifications

• High school diploma or equivalent required.
• Certification or coursework in medical/dental billing or coding preferred.
• 1 year in medical/dental/oral surgery billing or front office role preferred.
• Familiarity with dental/medical insurance plans, benefit verification, coding (CPT/CDT/ICD-10) and EMR systems preferred.

Responsibilities

• Insurance Verification & Authorization: Verify benefits, obtain pre-authorizations, and explain coverage to patients before treatment.
• Claims Management: Submit, monitor, and follow up on insurance claims and appeals for oral surgery, anesthesia, and office procedures.
• Patient Billing: Generate accurate statements, collect balances, answer billing questions, and assist patients in understanding charges and payment options.
• Documentation: Ensure thorough, compliant documentation of clinical procedures and payer correspondence.
• Revenue Cycle Support: Work with surgeons and coders to maximize reimbursement and minimize denials or delays.
• Problem-Solving: Investigate and resolve discrepancies, denials, and patient account issues in a timely, professional manner.
• Compliance: Stay current with HIPAA, insurance, and regulatory requirements related to billing.

Skills

Communication skills

Attention to detail

Problem solving

Team collaboration

HIPAA compliance

Education

High school diploma or equivalent

Medical/dental billing certification (Preferred)

Tools

EMR systems

Coding (CPT/CDT/ICD-10)

Billing software

Job description

St. Louis South Oral Surgery is seeking a detail‑oriented Billing Specialist to join our revenue team. You will verify insurance benefits, obtain pre-authorizations when needed, and explain coverage to patients prior to treatment.

The role includes submitting and tracking claims for oral surgery procedures, generating statements, and helping patients understand charges. We value accuracy, collaboration with surgeons and staff, and staying compliant with HIPAA and payer policies.