Billing & Collections Specialist I jobs in United States
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US Oral Surgery Management · 2 weeks ago

Billing & Collections Specialist I

US Oral Surgery Management is a company focused on oral surgery management services, and they are seeking a Billing & Collections Specialist I. The role involves following up with insurance and patient balances, communicating with patients regarding their accounts, and ensuring timely collection and resolution of billing issues.

CollaborationDentalHealth CareProfessional Services

Responsibilities

Communicate with patients, practice partners and coworkers by answering telephone, emails messages and TEAMs messages to assist with any questions or apprehensions regarding balances, billing, collections and reimbursement
Utilizes MY Transworld Health website to send patient accounts to profit recovery and collections.  Updates My TSI with additional information regarding patients’ failure to pay remaining balances if patient submits a dispute
Send email with statements to update patients on remaining balances and bad debt
Maintains a record for practice with all sent statements and emails regarding billing to patients
Updates billing systems to reflect status of collection and patient payments
Identifies possible issues or concerns that may impede insurance/patient payments and collaborates with manager to construct a resolution for issue
Provides a thorough explanation of benefits to patients, and properly explains reasoning behind balances and collections
Runs aging report weekly, monitors bucket which includes money in insurance claims that still needs to be collected and follows up with insurance to find reasoning behind outstanding, rejected or pending claims.  Reviews errors and provides resolution to issues.  (Manager may assign report via email)
Initiates review of patient accounts with credit balances and issues refunds when necessary
Ensures insurance pays correctly and issues adjustments following state law and USOSM protocol
Create contact notes with reminder dates to ensure claims are follow- up on timely
Pulls zero pay and applies insurance adjustment, updating billing category
Follows appropriate procedures before moving patients balance to collection agency
Processes/or gives to poster any credit cards when taken over the phone
Communicates with practice on accounts needing discretionary adjustments posted
Must maintain the accuracy rate determined by manager while training and then maintain 96% or better
Performs additional duties as assigned by manager or director

Qualification

Patient Management SoftwareBillingCollectionsProblem-solving skillsCommunication skillsMath skillsTeam player

Required

Ability to manage multiple priorities with frequent interruptions
Excellent oral and written communication skills
Ability to meet deadlines
Problem-solving skills
Exceptional human relations skills
Must be a team player
Proficient in use of computers and Patient Management Software
Adding and subtracting math skills
High School diploma, GED or equivalent

Preferred

Experience in a medical and /or dental environment a plus
An equivalent combination of education and experience is acceptable

Company

US Oral Surgery Management

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(USOSM) – a specialty management services company – partners with premier oral and maxillofacial surgeons throughout the United States to offer a partnership solution for continued, and accelerated, practice success as the healthcare landscape becomes more competitive and the regulatory complexities increase.

Funding

Current Stage
Late Stage
Total Funding
$325M
2024-12-19Debt Financing· $175M
2023-08-17Debt Financing· $150M
2021-11-11Acquired

Leadership Team

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Doug Drew
Chief Executive Officer
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Erik Pahl
General Counsel, Chief Compliance Officer and Secretary
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Recent News

U.S. Oral Surgery Management (USOSM)
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