Billing & Collections Specialist I

U.S. Oral Surgery Management•Irving, TX

3d•$24 - $26•Onsite

About The Position

The Billing & Collections Specialist I follows up on insurance and patient balances by obtaining claim status, researching rejections and denials, and documenting account activity. The role contacts patients about outstanding balances denied by insurance and collects balances. It supports other revenue cycle management staff, patients, partner practices, and insurance companies to maximize reimbursement and resolve accounts promptly. The specialist communicates about billing, collections, balances, and reimbursement; sends statements and accounts to recovery or collections when appropriate; updates billing systems; monitors aging and outstanding claims; resolves account issues; explains benefits and balances to patients; processes refunds and adjustments; and ensures claim follow-up occurs in a timely manner. The position is based at the U.S. Oral Surgery Management headquarters in Irving, Texas.

Requirements

High school diploma, GED, or equivalent.
Ability to manage multiple priorities with frequent interruptions.
Excellent oral and written communication skills.
Ability to meet deadlines.
Problem-solving skills.
Exceptional human relations skills.
Ability to work as a team member.
Proficiency with computers and patient management software.
Basic addition and subtraction skills.

Nice To Haves

Experience in a medical and/or dental environment.

Responsibilities

Communicate with patients, practice partners, and coworkers by telephone, email, and Teams to address questions about balances, billing, collections, and reimbursement.
Use the MY Transworld Health website to send patient accounts to profit recovery and collections.
Update My TSI with information about patients’ failure to pay remaining balances when they submit a dispute.
Email statements to patients about remaining balances and bad debt, and maintain a practice record of statements and billing emails sent to patients.
Update billing systems to reflect collection status and patient payments.
Identify issues that may impede insurance or patient payments and work with the manager on resolutions.
Explain benefits to patients and explain the reasons for balances and collections.
Run the aging report weekly, monitor outstanding insurance claims, and follow up with insurers about outstanding, rejected, or pending claims.
Review errors and resolve issues.
Review patient accounts with credit balances and issue refunds when necessary.
Ensure insurance pays correctly and issue adjustments in accordance with state law and USOSM protocol.
Create contact notes with reminder dates to ensure timely claim follow-up.
Pull zero-pay claims, apply insurance adjustments, and update the billing category.
Follow required procedures before referring patient balances to a collection agency.
Process credit card payments taken over the phone or provide them to the poster for processing.
Communicate with practices about accounts requiring discretionary adjustments.
Maintain the accuracy rate set by the manager during training and thereafter maintain an accuracy rate of 96% or better.
Perform additional duties as assigned by the manager or director.