Insurance Billing and Claims Specialist - Greensboro, United States - The Oral Surgery Institute of the Carolinas

Description

Job Description

Job Title: Insurance Billing and Claiming Specialist

Job Overview:

We are seeking a detail-oriented and experienced Insurance Billing and Claiming Specialist to join our team at the Oral Surgery Institute of the Carolinas. The ideal candidate will be responsible for managing the billing and claims process, ensuring accurate submission, timely reimbursement, and adherence to insurance guidelines. This role plays a crucial part in maintaining financial health within our organization through effective interaction with insurance providers.

Responsibilities:

1. Prepare and submit accurate insurance claims for medical and dental services.

2. Verify patient insurance coverage and ensure all necessary information is collected for claims processing.

3. Review and interpret insurance explanation of benefits (EOB) to reconcile payments and resolve discrepancies.

4. Investigate and appeal denied claims, working closely with insurance companies to resolve issues.

5. Keep abreast of insurance coding and billing regulations, implementing necessary updates in billing practices.

6. Collaborate with healthcare providers and internal teams to address billing-related inquiries and provide necessary documentation.

7. Maintain organized records of billing and claims activities, ensuring compliance with legal and regulatory standards.

Qualifications:

1. Proven experience as an Insurance Billing and Claiming Specialist or similar role.

2. In-depth knowledge of insurance billing procedures, coding systems (CDT, CPT, ICD-10), and claim submission requirements.

3. Familiarity with insurance industry guidelines and regulations.

4. Strong analytical and problem-solving skills with attention to detail.

5. Excellent communication skills for effective interaction with insurance providers, healthcare teams, and patients.

6. Proficient in relevant billing software and electronic health record (EHR) systems.

Benefits:

Competitive salary

Health insurance coverage

Opportunities for professional development

Collaborative and dynamic work environment

If you are a skilled Insurance Billing and Claiming Specialist with a commitment to accuracy and efficiency, we invite you to apply and contribute to our organization's commitment to delivering quality healthcare services.