Billing & Insurance Coordinator

Company: The Oral Surgery Institute of the Carolinas Title: Billing & Insurance Coordinator Report To: Practice Administrator Category: Administrative Effective Date: May 2026 Status: Hourly Summary The Insurance & Billing Coordinator is responsible for managing all aspects of dental and medical insurance processing, patient billing, claims follow-up, and financial coordination for a busy oral and maxillofacial surgery practice. This role requires strong attention to detail, excellent communication skills, and the ability to provide outstanding service to patients while ensuring accurate and timely reimbursement. The ideal candidate is organized, professional, dependable, and experienced in dental and/or medical insurance billing within a healthcare setting. Essential Duties & Responsibilities Claims Processing & Billing Submit accurate dental and medical claims electronically and manually when required Review and correct claim rejections and denials Follow up on outstanding claims and aging reports to ensure prompt reimbursement Post insurance and patient payments accurately Reconcile accounts and resolve billing discrepancies Correspond with the third‑party billing team Correspond with Off‑site Billing Team Communicate and effectively manage relationship with third-party insurance billing team. Ensure billing team has access to all relevant information pertaining to the processing and resolution of claims. Monitor team progress and potential for workflow enhancement. Procure any relevant documentation or information from the clinical team to resolve claim denials. Attend meetings. Patient Financial Communication Answer patient questions regarding insurance benefits, statements, and balances. Assist patients with financing options and payment arrangements when appropriate. Maintain professionalism and empathy during financial discussions. Administrative & Compliance Duties Attend weekly meetings with the billing team and management. Ensure compliance with HIPAA and insurance billing regulations. Collaborate with front office, surgical assistants, and providers to ensure smooth patient flow. Provide routine reports and updates to the practice administrator. Support staff with any billing questions or inquiries pertaining to patient care. Qualifications High school diploma or equivalent required. Minimum 2 years of dental or medical insurance/billing experience preferred. Experience in dental or specialty healthcare billing strongly preferred. Knowledge of dental and medical terminology, CDT/CPT codes, and insurance claim processes. Experience with dental practice management software preferred.Excellent organizational, communication, and customer service skills. Preferred Associate's or bachelor's degree in a healthcare administration or business related field. Medical billing & coding certification. Familiarization with revenue cycle management processes and concepts. Accountable and open to feedback. This role must be able to work independently with general supervision, and understand and carry out written and oral instructions. #J-18808-Ljbffr