Billing & Collections Specialist I (Practice)

AUSTIN ORAL SURGERY•Round Rock, TX

29d•$21 - $23•Onsite

About The Position

The Billing & Collections Specialist I (Practice), also described as an RCM Billing and Collections Specialist or Claims Specialist, manages revenue-cycle tasks 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 correctly 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 guidelines and office policies, and communicating professionally with patients and staff. Duties and responsibilities may change, and 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 use discretion and independent judgment to resolve coding and posting discrepancies with minimal supervision.
Detailed and accurate knowledge of insurance and proper claim transmission.
Strong attention to detail and ability to work efficiently.
Basic mathematical ability and accuracy reading patient ledgers.
Active listening skills, including engaging in conversations, understanding points made, asking relevant questions, and avoiding inappropriate interruptions.
Good reading comprehension.
Ability to communicate verbally with patients and staff clearly and professionally.
Ability to adapt to changing job duties and schedules.
Ability to maintain patient confidentiality in accordance with HIPAA standards and follow OSHA and office safety procedures.
Insurance verification experience is preferred.
Dental billing experience is preferred.
Medical billing experience is 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 assigned work.
Exercise discretion and independent judgment to resolve coding and posting discrepancies with minimal supervision.
Review and send daily claims accurately.
Apply insurance knowledge to ensure proper claim transmission.
Use insurance portals to check claim status and enter claims.
Run and complete required reports and tasks by their deadlines.
Maintain confidentiality in accordance with HIPAA standards.
Follow OSHA and office safety guidelines and procedures, as well as office policies.
Maintain positive rapport with patients and team members and communicate clearly and professionally.
Adapt to changing duties and work schedules as needed.