Billing and Insurance Specialist

About the role

The Billing and Insurance Specialist at Allied OMS is responsible for managing billing processes, verifying insurance coverage, and ensuring timely claims submission and payment. The position also involves preparing and submitting accurate insurance claims, verifying patient insurance benefits, monitoring accounts receivable, communicating with patients, maintaining records, and ensuring compliance with HIPAA regulations and internal confidentiality policies.

Responsibilities

• Prepare and submit accurate insurance claims, ensuring compliance with all relevant regulations.
• Verify patient insurance benefits and coverage for procedures, obtaining pre-authorization if necessary.
• Review patients’ statements to ensure that all services rendered are accurately billed and collected.
• Maintain records of billing activities, claim submissions, and patient communications.
• Monitor accounts receivable, follow up on outstanding claims, and resolve any discrepancies or billing errors.
• Communicate with patients regarding their insurance benefits, financial responsibilities, and payment options.
• Maintain a clear understanding of confidentiality and patient privacy requirements.

Requirements

• A high school diploma or equivalent required; an associate or bachelor’s degree in healthcare administration, finance, or a related field is preferred.
• A minimum of [2] years of experience in medical billing or insurance verification.
• Knowledge of dental coding and insurance procedures.
• Proficiency in electronic health record systems and billing software.
• Ability to work independently and manage time effectively in a fast-paced environment.
• Excellent organizational, communication, and problem-solving skills.
• Detail-oriented with the ability to manage multiple tasks efficiently.

Qualifications

• High school diploma or equivalent required.
• Minimum of [2] years of experience in medical billing or insurance verification.
• Knowledge of dental coding and insurance procedures.
• Proficiency in electronic health record systems and billing software.
• Ability to work independently and manage time effectively in a fast-paced environment.
• Excellent organizational, communication, and problem-solving skills.
• Detail-oriented with the ability to manage multiple tasks efficiently.

Benefits

• 401(k)
• Dental Insurance
• Health Insurance
• Paid time off (if applicable)
• Vision Insurance

Working Conditions/Physical Requirements

Primarily in an office environment with a focus on administrative tasks. Sitting [70–80]% of the time. Standing [20–30]% of the time. Frequent use of hands for typing, filing, and handling paperwork. Close vision is necessary for reading documents, viewing billing statements, and using computer screens for extended periods.