Insurance Billing & Collections Specialist

Responsibilities

• Monitor and work assigned insurance accounts receivable to drive timely resolution and maximize reimbursement.
• Follow up with commercial, PPO, Medicaid, and other payers to verify claim status, identify denials, and resolve underpaid, unpaid, zero-paid, and partially paid claims.
• Review explanation of benefits (EOBs), remittance details, and payer correspondence to determine root cause and next steps for account resolution.
• Prepare and submit corrected claims, appeals, claim inquiries, reconsiderations, and required attachments within payer and timely filing guidelines.
• Research and correct account issues including demographics, subscriber data, eligibility, coordination of benefits, plan limitations, missing documentation, and payer-specific billing requirements.
• Audit claims and patient accounts for completeness and accuracy, including narratives, attachments, referral information, and supporting clinical documentation when required.
• Partner with practice teams, internal departments, and payer representatives to resolve claim barriers and reduce avoidable denials.
• Track aging trends, escalation items, and payer issues, and communicate opportunities for process improvement to leadership.
• Stay current on payer policies, reimbursement rules, dental coding updates, and revenue cycle best practices relevant to a multi-site DSO environment.

Qualifications

• 2 years of dental insurance collections, dental billing, or revenue cycle management experience.
• Working knowledge of dental insurance plans, claim submission workflows, denials management, appeals, EOB interpretation, and timely filing requirements.
• Strong attention to detail, organization, follow-through, and accuracy in documentation.
• Effective verbal and written communication skills with the ability to work collaboratively across teams.
• Comfortable navigating practice management systems, payer portals, and Microsoft Office applications, especially Excel.

About Us

Benefits are determined by employment status/hours worked and include paid time off (“PTO”), health, dental, vision, health savings account, telemedicine, flexible spending accounts, life insurance, disability insurance, employee discount programs, pet insurance, and a 401k plan. Smile Brands supports over 650 affiliated dental practices across 28 states all focused on a single mission of delivering Smiles For Everyone!® Smiles for patients, providers, employees, and community partners. Everyone. Our growing portfolio of affiliated dental brands and practice models range from large regional brands to uniquely branded local practices. This role is associated with the affiliated dental office listed at the top of the job posting on our career site.

Schedule

Monday - Friday 7am-3:30pm

Compensation

$18 - $20/hr