Insurance Billing & Collections Specialist

Smile Brands•San Antonio, TX

5d•Onsite

About The Position

Smile Brands is one of the nation's largest dental support organizations (DSO), and we are seeking a detail-oriented Insurance Billing & Collections Specialist to support insurance accounts receivable operations in San Antonio, TX. This role is responsible for claim follow-up, denial resolution, appeals, aging account management, and payment reconciliation across multiple dental practices. The ideal candidate will possess a strong understanding of dental insurance processes, explanation of benefits (EOBs), timely filing requirements, payer follow-up, and accounts receivable best practices, along with the ability to work efficiently in a fast-paced revenue cycle environment. In this role, you will be expected to manage assigned inventory productively, maintain accurate and thorough documentation, meet follow-up timeliness standards, and contribute to reducing aging balances and preventable denials while supporting a positive patient and payer experience. This is a full-time, on-site role. Following completion of training, employees who meet performance expectations may be eligible for a hybrid schedule of up to two work-from-home days per week. Hybrid eligibility is performance-based and subject to business needs.

Requirements

2 years of dental insurance collections, dental billing, or revenue cycle management experience
Working knowledge of dental insurance plans, claim submission workflows, denials management, appeals, EOB interpretation, and timely filing requirements.
Strong attention to detail, organization, follow-through, and accuracy in documentation.
Effective verbal and written communication skills with the ability to work collaboratively across teams.
Comfortable navigating practice management systems, payer portals, and Microsoft Office applications, especially Excel.

Nice To Haves

Experience supporting a dental support organization (DSO), multi-site group practice, or centralized billing office.
Knowledge of Dentrix Ascend or similar dental practice management platforms.
Familiarity with payer escalation pathways, secondary claims, coordination of benefits, and insurance aging analysis.
High school diploma or equivalent.

Responsibilities

Monitor and work assigned insurance accounts receivable to drive timely resolution and maximize reimbursement.
Follow up with commercial, PPO, Medicaid, and other payers to verify claim status, identify denials, and resolve underpaid, unpaid, zero-paid, and partially paid claims.
Review explanation of benefits (EOBs), remittance details, and payer correspondence to determine root cause and next steps for account resolution.
Prepare and submit corrected claims, appeals, claim inquiries, reconsiderations, and required attachments within payer and timely filing guidelines.
Research and correct account issues including demographics, subscriber data, eligibility, coordination of benefits, plan limitations, missing documentation, and payer-specific billing requirements.
Audit claims and patient accounts for completeness and accuracy, including narratives, attachments, referral information, and supporting clinical documentation when required.
Partner with practice teams, internal departments, and payer representatives to resolve claim barriers and reduce avoidable denials.
Maintain accurate notes, account actions, and follow-up dates in the practice management system to support visibility and continuity of work.
Track aging trends, escalation items, and payer issues, and communicate opportunities for process improvement to leadership.
Stay current on payer policies, reimbursement rules, dental coding updates, and revenue cycle best practices relevant to a multi-site DSO environment.