PANGEATWO · 6 hours ago
Accounts Receivable Specialist - Oral Surgery
PANGEATWO is a rapidly growing healthcare company transforming the oral surgery industry. The Accounts Receivable Specialist is responsible for managing insurance accounts receivable for oral surgery practices, focusing on claim follow-up, denial resolution, and maximizing net collections.
ConsultingHuman ResourcesInformation TechnologySmall and Medium BusinessesStaffing Agency
Responsibilities
Investigate, appeal, and resolve denied or rejected insurance claims
Analyze Explanation of Benefits (EOBs) at the claim level to identify reimbursement issues
Identify root causes of denials and implement corrective actions to prevent recurrence
Correct, rebill, and resubmit claims using standardized workflows
Follow up on unresolved claims through clearinghouses, payer portals, and direct payer calls
Determine appeals to necessity and track appeals through final resolution
Identify denial trends and report findings to management
Communicate professionally with payors, internal teams, and patients as needed
Stay current on internal procedures, payer requirements, and regulatory standards
Meet or exceed daily account volume expectations
Achieve departmental KPIs related to net collection rates and denial recovery
Participate in special projects as assigned
Qualification
Required
Oral surgery billing experience – REQUIRED
Minimum 1 year of healthcare billing and accounts receivable experience
Strong knowledge of medical insurance plans, claim workflows, and reimbursement processes
Experience reviewing and resolving insurance denials and appeals
Proficiency with EHR systems and billing platforms
Solid working knowledge of Excel and system workflows
Exceptional attention to detail and follow-through
Strong written and verbal communication skills
Ability to manage multiple priorities in a fast-paced environment
Knowledge of HIPAA and healthcare compliance regulations
Preferred
Associate or Bachelor's degree in healthcare, business, or related field
Experience in a mid- to large-scale healthcare business office (100+ providers)