Accounts Receivable Specialist - Oral Surgery

Our client is an exciting, rapidly growing healthcare company transforming the oral surgery industry. This team moves fast, sets aggressive goals, and hires only professionals who thrive in a high-accountability, performance-driven environment.

About the role

The Accounts Receivable Specialist is responsible for managing insurance accounts receivable for oral surgery practices. This role focuses heavily on claim follow-up, denial resolution, appeals, and payer communication, with a clear objective: maximize net collections and reduce aging AR in line with revenue cycle leadership goals. This is a hands-on role for someone who takes ownership of their work, moves quickly, and consistently meets or exceeds daily productivity targets.

Mandatory training requires travel Monday–Friday for the first two months to a corporate office located in Birmingham, AL.

Responsibilities

• Investigate, appeal, and resolve denied or rejected insurance claims
• Analyze Explanation of Benefits (EOBs) at the claim level to identify reimbursement issues
• Identify root causes of denials and implement corrective actions to prevent recurrence
• Correct, rebill, and resubmit claims using standardized workflows
• Follow up on unresolved claims through clearinghouses, payer portals, and direct payer calls
• Determine appeals to necessity and track appeals through final resolution
• Identify denial trends and report findings to management
• Communicate professionally with payors, internal teams, and patients as needed
• Stay current on internal procedures, payer requirements, and regulatory standards
• Meet or exceed daily account volume expectations
• Achieve departmental KPIs related to net collection rates and denial recovery
• Participate in special projects as assigned

Requirements

• Oral surgery billing experience – REQUIRED
• Minimum 1 year of healthcare billing and accounts receivable experience
• Strong knowledge of medical insurance plans, claim workflows, and reimbursement processes
• Experience reviewing and resolving insurance denials and appeals
• Proficiency with EHR systems and billing platforms
• Solid working knowledge of Excel and system workflows
• Exceptional attention to detail and follow-through
• Strong written and verbal communication skills
• Ability to manage multiple priorities in a fast-paced environment
• Knowledge of HIPAA and healthcare compliance regulations

Qualifications

• Associate or Bachelor’s degree in healthcare, business, or related field (preferred)
• Experience in a mid- to large-scale healthcare business office (100+ providers) (preferred)

Pay

$24 per hour