Insurance Verification Coordinator (Oral Surgery)

Sexton Oral & Maxillofacial Surgery is a dedicated and growing practice where patient care and quality service are at the heart of everything we do. Our team is supported by a great group of doctors who are deeply committed to ensuring that every patient has an exceptional experience with us.

Our team works independently while also contributing to our collective success. Each member of our team is encouraged to be both productive and prepared, enabling us to collaborate efficiently and function like a well-maintained machine. We also understand the importance of work-life balance. We work hard to provide the best care possible, and we equally value the time spent away from the practice, ensuring our team is refreshed and ready to excel.

If you’re looking for a role that offers professional growth, strong team support, and a balanced work environment, we’d love to hear from you.

Duties and Responsibilities

• Call insurance carriers and utilize insurance portals to handle insurance accounts receivable (AR) and verification of benefits.
• Process insurance claims for oral and maxillofacial procedures, including complex surgical cases.
• Follow up on unpaid claims, investigate and resolve discrepancies, and appeal denied claims.
• Maintain up-to-date knowledge of insurance policies, procedures, and coding guidelines (CPT, ICD-10, and CDT codes).
• Manage all aspects of dental and medical billing processes, including filing insurance claims, posting EOBs, and working on patient accounts receivable.

• 2 years of experience in Oral Surgery insurance verification required including experience with complex cases is preferred.
• 2 years of experience in the coordination of medical and dental benefits including resolving unpaid claims through investigation and communication with insurances.
• Proficiency in using electronic health records (EHR) and dental/medical billing software.
• Strong knowledge of dental and medical insurance policies, billing procedures, and coding guidelines.
• Excellent analytical skills, attention to detail, organization and time management skills.
• Excellent written, verbal and interpersonal communication skills with internal team members, insurance companies and patients.
• Proficiency in Excel, Google Sheets, and other software spreadsheets are preferred, as spreadsheets are utilized daily in this position.
• High School Diploma or equivalent required

Benefits Offered

• Medical
• Dental
• Vision
• Life Insurance
• Long and Short-Term Disability
• Paid Time Off
• 401(k) with Company Match

If you are a team player with a passion for providing excellent patient care, we encourage you to apply for this exciting opportunity.