Billing and Insurance Specialist

Billing and Insurance Specialist

ALLIED OMS NEWCO LLC

Eugene, OR Job Details Full-time 23 hours ago Benefits Health insurance Paid time off Vision insurance Qualifications Overseeing health insurance pre-certification Accounts receivable management Medical insurance coverage verification Regulatory compliance in claims processing Health insurance customer support Dental insurance HIPAA Medical billing compliance checks High school diploma or GED Medical records Medical billing and coding communication with insurance companies Health information regulatory compliance Medical claims submission Handling patient inquiries Clinical confidentiality policies Financial compliance

Full Job Description Description:

About Allied OMS Allied OMS is a doctor-owned, doctor-led, and doctor-governed management services organization (MSO) in the oral and maxillofacial surgery space that combines the best of private practice with the best of private equity. Leveraging decades of experience building platform businesses in the healthcare industry and collectively owned by member surgeons, private equity, and management consulting veterans, Allied OMS offers essential tools for maximizing practice value. Grounded in clinical excellence, doctors in the Allied OMS network maintain essential roles in management, governance, and clinical practice and participate directly in the platform's growth. Seventy-five percent of the Allied OMS board of directors are doctor members, and Allied OMS doctors lead 100% of the platform's management committees. Founded in 2020 in partnership with DuneGlass Capital, a healthcare services-focused independent sponsor, the Allied OMS network now includes 83 doctors serving patients from 49 locations in Arizona, California, Colorado, Illinois, Indiana, Louisiana, Maryland, Michigan, New York, Oregon, Tennessee, Texas, and Virginia.

Position Summary :

The Billing and Insurance Specialist is responsible for managing billing processes, verifying insurance coverage, and ensuring timely claims submission and payment. The ideal candidate will possess strong analytical skills, attention to detail, and a thorough understanding of medical billing practices and insurance policies. Other duties and responsibilities as assigned by the supervisor.

Requirements:

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. 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 records of billing activities, claim submissions, and patient communications. Ensure compliance with HIPAA regulations and internal confidentiality policies. Maintain a clear understanding of confidentiality and patient privacy requirements.

Qualifications:

High school diploma or equivalent required; an associate or bachelor's degree in healthcare administration, finance, or a related field is preferred. 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.

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.

Benefits:

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