Insurance Verification and Billing Specialist

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.