Insurance Billing & Collections Specialist

Smile Brands is a dominant player in the dental space and we are seeking a Insurance Collections Specialist to join our Revenue Cycle Management team. Someone who is detail-oriented with experience in claims appeals and reviewing EOBs. The ideal candidate will feel comfortable in a fast-paced environment.

This is an on-site role at our Business Support Center in San Antonio, TX.

• Calling insurance carriers or any other practical research resources to verify if a claim has been received and what the outcome paid and/or denial reason is
• Contacting and following up with insurance company representatives
• Updating all patient accounts to correct inaccurate information i.e. demographics, eligibility dates, termination dates and contract allowance and/or maximum
• Managing the workflow of assigned accounts and meeting deadlines for filing to obtain maximum reimbursements. Monitoring collections activity for timely payment from all revenue sources
• Understanding and staying informed of changes with procedures, billing guidelines and laws for specific insurance carriers or payers
• Following up on any overdue accounts and researching accounts to determine why the balance remains unpaid
• Auditing insurance claims to identify and provide required attachments and auditing attachments for completeness and suitability
• Working zero paid or partial paid Explanation of Benefit (EOB) and take action to appeal or properly adjudicate claims
• Ensuring claim submissions for secondary coverage is within timely filing limits
• Ensuring responses to claim inquiries and tracing is within timely filing limits
• Conducting full patient account audits to determine appropriate action
• Ensuring all dental billing/collection letters are prepared and mailed according to the set schedule

• 1 year of experience working in dental (front or back office)
• Experience processing insurance claims
• Proficiency in Microsoft Office applications, with a strong emphasis on Excel
• Must be able to read and understand EOB's
• Exceptional attention to detail and accuracy
• Demonstrated ability to multitask and work well in a fast paced environment
• Professional and pleasant phone etiquette and delivers excellent customer service
• Team member must be detail oriented, organized and work with little supervision

• Dental software experience with Dentrix Ascend

Benefits are determined by employment status/hours worked and include paid time off (“PTO”), health, dental, vision, health savings account, telemedicine, flexible spending accounts, life insurance, disability insurance, employee discount programs, pet insurance, and a 401k plan.

Smile Brands supports over 650 affiliated dental practices across 30 states all focused on a single mission of delivering Smiles For Everyone!® Smiles for patients, providers, employees, and community partners. Everyone. Our growing portfolio of affiliated dental brands and practice models range from large regional brands to uniquely branded local practices. This role is associated with the affiliated dental office listed at the top of the job posting on our career site.

Smile Brands Inc. and all Affiliates are Equal Opportunity Employers. We celebrate diversity and are committed to providing an inclusive workplace for all employees. We are proud to be an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, creed, gender (including gender identity and gender expression), religion, marital status, registered domestic partner status, age, national origin, ancestry, physical or mental disability, sex (including pregnancy, childbirth, breastfeeding or related medical condition), protected hair style and texture (The CROWN Act), genetic information, sexual orientation, military and veteran status, or any other consideration made unlawful by federal, state, or local laws. If you would like to request an accommodation due to a disability, please contact us at ...