Insurance Verification and Billing Specialist

We are seeking a highly organized and experienced Insurance Verification & Billing Specialist to support insurance verification and billing operations within our growing practice. This individual will play a critical role in ensuring accurate insurance coverage verification, timely claims processing, and efficient revenue cycle management. The ideal candidate is detail-oriented, solutions-driven, and experienced in dental, oral surgery, or medical billing environments. Experience with WinOMS is strongly preferred. Key Responsibilities Insurance Verification Verify patient insurance eligibility, benefits, authorizations, and coverage accurately and efficiently Resolve insurance discrepancies with patients, providers, and insurance carriers Maintain current knowledge of insurance policies, coding updates, and payer guidelines Ensure verification tasks are completed in a timely and accurate manner Billing & Revenue Cycle Process claim submissions, payment posting, account follow‑up, and denial management Assist with resolving unpaid or denied claims and insurance appeals Monitor aging reports and support collections efforts Ensure billing accuracy and compliance with payer requirements Collaborate with clinical and front office teams to ensure proper documentation and communication WinOMS Reporting & Operations Utilize WinOMS reporting tools to support office performance and workflow efficiency Provide reporting support for leadership and operational planning Maintain accurate patient and insurance data within practice systems Additional Duties Provide exceptional customer service to patients and team members Assist with onboarding and training support as needed Maintain HIPAA compliance and confidentiality standards Secure escalated patient situations and find reasonable resolutions Support additional administrative and operational duties as assigned Serve as the contact person for DCS Manage DCS spreadsheet and callback spreadsheet tracking Assist with billing‑related WinOMS reporting Qualifications Minimum of 3 years of dental, oral surgery, or medical insurance verification/billing experience Experience with WinOMS software and reporting functions preferred Strong understanding of insurance claims, billing workflows, and revenue cycle management Proficient with Microsoft Office and reporting tools Skills & Attributes Strong communication and problem‑solving skills Attention to detail and organizational skills Ability to multitask in a fast‑paced environment Analytical and reporting capabilities Customer service oriented Professionalism and confidentiality Why Join Our Team? We are committed to building a positive, team‑oriented culture where growth, accountability, and patient care come first. This is an excellent opportunity for someone looking to make a direct impact on operational success and patient experience. Apply today to become part of a team that values excellence, collaboration, and professionalism. #J-18808-Ljbffr MaKai Consulting, LLC