Billing Specialist

Responsibilities

• Verify patient insurance eligibility and benefits before procedures
• Obtain prior authorizations for oral surgery procedures
• Coordinate benefits between medical and dental insurance plans
• Submit claims using ICD-10, CPT, and CDT codes
• Resolve claim discrepancies or denials in a timely manner
• Monitor aging reports and follow up on outstanding claims
• Post insurance payments and adjustments accurately
• Prepare and send patient statements and handle billing inquiries
• Generate regular reports on accounts receivable and payment trends

Requirements

• High School Diploma or equivalency
• Minimum of 1 year of experience in dental or medical billing
• Knowledge of ICD-10, CPT, and CDT coding
• Familiarity with dental/medical billing software (e.g., WinOMS, DSN, Sensei)
• Knowledge of medical and dental insurance processes and coordination of benefits
• Strong organizational and analytical skills
• Ability to handle sensitive information confidentially

Preferred Qualifications

• Associate’s degree or certification in medical billing or coding
• Experience specifically in dental or oral surgery billing