Billing Specialist

Oral Surgery Partners•Warminster, PA

2d•Onsite

About The Position

The Oral Surgery Billing Specialist is responsible for managing the billing and reimbursement process for oral surgery procedures. This may include verifying insurance coverage, coding claims accurately, submitting claims, following up on unpaid claims, and ensuring timely payments. The ideal candidate will have a strong understanding of oral surgery billing practices, dental and medical insurance processes, and exceptional attention to detail.

Requirements

High School Diploma or Equivalency, required.
Minimum of 2 years of experience in dental or medical billing (experience in oral surgery billing preferred).
Knowledge of ICD-10, CPT, and CDT coding.
Familiarity with dental/medical billing software (e.g., WinOMS, DSN, Sensei, etc).
Knowledge of medical and dental insurance processes, including coordination of benefits.
Strong organizational skills
Excellent communication and customer/patient-service capabilities.
Ability to handle multiple tasks
Ability to work in fast-paced environment
Analytical and detail-oriented
Able to work independently with exceptional initiative and sound judgment
Ability to handle sensitive information confidentially.
Positive attitude, change advocate, able to lead by example

Nice To Haves

Associate’s degree or certification in medical/billing or coding, preferred.

Responsibilities

Verify patient insurance eligibility and benefits before procedures.
Obtain prior authorizations for oral surgery procedures when needed.
Coordinate benefits between medical and dental insurance plans.
Accurately verify codes and submit claims using ICD-10, CPT, and CDT codes.
Ensure compliance with payer guidelines and regulatory requirements.
Resolve discrepancies or denials in a timely manner.
Monitor aging reports and follow up on outstanding claims.
Communicate with insurance companies to resolve claim issues or delays.
Post insurance payments and adjustments accurately.
Prepare and send patient statements for balances owed.
Help to handle patient billing inquiries and explain charges or insurance denials.
Maintain accurate records of billing activities and insurance correspondence.
Generate regular reports on accounts receivable, claims status, and payment trends and report those to practice leader and RCM advisor.