Description

Sexton Oral and Maxillofacial Surgery in Memphis is seeking a skilled and committed Dental and Medical Insurance Billing Specialist to join our team and assist us in delivering exceptional care to our patients. 

• Reviews returned claims and verifies correct data elements that will facilitate processing of the claim
• Work accounts in a thorough and accurate manner.
• Reviews correspondence and takes action as appropriate to update the patient account record, both current and historical, and insure the accurate production of claims.
•  Review and follow up on insurance accounts with outstanding balances.
• Responsible to assess and process all correspondence to include EOB’s for provided accounts claim research on insurance online portals as needed.
• Capable to work denials from the billing clearinghouses such as Change Healthcare, Availity, and Exchange Healthcare.
• Initiate and follow up on claim appeals after all other efforts for payment have been exhausted as merited by insurance company.
• Identify and correct billing errors and convey these issues with the billing team complete cash application forms for the posting team in the event there are dates of services with incorrect posting information.
• Review and prepare resubmission of claims for manual and/or electronic billing print and mail claim forms as necessary for account resolution.
• Communicate immediately with supervisors on any insurance issues, trends or reimbursement setbacks that may affect cash flow by monitoring insurance accounts.
• Promptly answer phones in a courteous and friendly manner following call quality program standards.
• Document discussions with and/or promises from all patient phone calls.
• Process correspondence from patient statements.
• Accurately processes patient payments.
• Communicates payment guidelines, sets up recurring patient payments.
• Contact insurance companies and lab companies by phone, fax, and written correspondence to resolve issues preventing claims from being processed correctly.
• Communicate with coding staff to verify claims have been coded correctly, assign claims to Insurance AR for completion of appeal
• Work with lead billing specialist to improve patient accounts.

Requirements

• Excellent analytical, interpersonal, organizational and communication skills.
• Always maintain the highest level of confidentiality to HIPAA standards.
• Must maintain a professional demeanor and attitude.
• Must be detail oriented in order to maintain accurate records, good financial practices, account balances, and financial reporting.
• Must demonstrate excellent communication skills by talking to others to convey information effectively. 
• 2 or more years of experience in Dental and/or Medical Insurance. 
• Specialized understanding and experience in handling insurance and billing matters in a medical setting.
• Excellent computer skills and ability to use practice software systems.

 Benefits Opportunities

• Medical 
• Dental
• Vision
• Life Insurance
• Long and Short-Term Disability
• Paid time off
• 401(k) 

If you are a team player with a passion for providing excellent patient care, we encourage you to apply for this exciting opportunity.