Insurance Verification & Billing Specialist
Position Overview
We are seeking a highly organized and experienced Insurance Verification & Billing Specialist to support insurance verification and billing operations within our growing practice. This individual will play a critical role in ensuring accurate insurance coverage verification, timely claims processing, and efficient revenue cycle management.
The ideal candidate is detail-oriented, solutions-driven, and experienced in dental, oral surgery, or medical billing environments. Experience with WinOMS is strongly preferred.
Key Responsibilities
Insurance Verification
- Verify patient insurance eligibility, benefits, authorizations, and coverage accurately and efficiently
- Resolve insurance discrepancies with patients, providers, and insurance carriers
- Maintain current knowledge of insurance policies, coding updates, and payer guidelines
- Ensure verification tasks are completed in a timely and accurate manner
Billing & Revenue Cycle
- Process claim submissions, payment posting, account follow-up, and denial management
- Assist with resolving unpaid or denied claims and insurance appeals
- Monitor aging reports and support collections efforts
- Ensure billing accuracy and compliance with payer requirements
- Collaborate with clinical and front office teams to ensure proper documentation and communication
WinOMS Reporting & Operations
- Utilize WinOMS reporting tools to support office performance and workflow efficiency
- Provide reporting support for leadership and operational planning
- Maintain accurate patient and insurance data within practice systems
Additional Duties
- Provide exceptional customer service to patients and team members
- Assist with onboarding and training support as needed
- Maintain HIPAA compliance and confidentiality standards
- Secure escalated patient situations and find reasonable resolutions
- Support additional administrative and operational duties as assigned
- Serve as the contact person for DCS
- Manage DCS spreadsheet and callback spreadsheet tracking
- Assist with billing-related WinOMS reporting
Qualifications
- Minimum of 3 years of dental, oral surgery, or medical insurance verification/billing experience
- Experience with WinOMS software and reporting functions preferred
- Strong understanding of insurance claims, billing workflows, and revenue cycle management
- Proficient with Microsoft Office and reporting tools
Skills & Attributes
- Strong communication and problem-solving skills
- Attention to detail and organizational skills
- Ability to multitask in a fast-paced environment
- Analytical and reporting capabilities
- Customer service oriented
- Professionalism and confidentiality
Why Join Our Team?
We are committed to building a positive, team-oriented culture where growth, accountability, and patient care come first. This is an excellent opportunity for someone looking to make a direct impact on operational success and patient experience.
Apply today to become part of a team that values excellence, collaboration, and professionalism.