Billing & Collections Specialist I (Practice)

U.S. Oral Surgery Management•Round Rock, TX

35d•$22 - $24•Onsite

About The Position

The Billing & Collections Specialist I (Practice), also described as an RCM Billing and Collections Specialist (Claims Specialist), supports revenue-cycle operations for a clinic in partnership with the RCM team. Under the direct and indirect supervision of the Billing and Collections Manager, the specialist handles medical and dental claims, verifies that insurance policies and patient demographics are properly loaded into the software system, and monitors the efficiency of claims transmission. The role supports patients and practices in achieving optimal outcomes and care. The position requires maintaining confidentiality in accordance with HIPAA, following OSHA and office safety procedures and office policies, and communicating professionally with patients and staff. Duties and activities may change with or without notice. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requirements

Excellent computer skills and ability to navigate practice software systems.
Ability to exercise discretion and independent judgment to resolve coding and posting discrepancies with minimal supervision.
Accurate knowledge of insurance and claims transmission.
Ability to use insurance portals to check claim status and enter claims.
Ability to meet deadlines and complete required reports and tasks.
Maintain confidentiality in accordance with HIPAA standards.
Follow OSHA and office safety guidelines and procedures, as well as office policies.
Excellent interpersonal skills and professional verbal communication with patients and staff.
Attention to detail and ability to work efficiently.
Flexibility to adapt to changing job duties and work schedules.
Basic mathematical understanding and ability to read patient ledgers accurately.
Active listening skills, including engaging in conversations, understanding points made, asking relevant questions, and avoiding inappropriate interruptions.
Good reading comprehension.
Insurance verification experience: 1 year preferred.
Dental billing experience: 1 year preferred.
Medical billing experience: 1 year preferred.

Nice To Haves

1 year of insurance verification experience.
1 year of dental billing experience.
1 year of medical billing experience.

Responsibilities

Use practice software systems to manage billing and collections work.
Use discretion and independent judgment to resolve coding and posting discrepancies with minimal supervision.
Review and send daily claims, ensuring accuracy and correctness.
Apply knowledge of insurance to support proper claim transmission.
Use insurance portals to check claim status and enter claims.
Run and complete required reports and tasks within deadlines.
Verify that insurance policies and patient demographic information are properly loaded into the software system.
Monitor the efficiency of claims transmission.
Maintain confidentiality in accordance with HIPAA standards.
Follow OSHA and office safety guidelines, procedures, and policies.
Maintain positive rapport with patients and team members and communicate clearly and professionally.
Adapt to changing job duties and work schedules as needed.