Medical Claims & Billing Specialist

  • Finance
  • Full time
  • Trinidad and Tobago
  • 4 hour(s) ago

Job Overview

Date Posted:
Posted 4 hour(s) ago
Experience:
2 years
Salary:
Undisclosed
Location:
Other
Expiration date:
06/25/2026

About the Role
We're hiring a Medical Claims & Billing Specialist for a specialised dental practice focused on oral surgery and anesthesia.

This is a complex, high-denial billing environment where accuracy and strong insurance knowledge directly affect reimbursement. It's fully remote, covering claims, follow-ups, and patient support by email and chat.

Key Responsibilities

• End-to-end submission, tracking, and management of insurance claims for anesthesia, oral surgery, and dental procedures

• Apply accurate CPT, ICD-10, and CDT coding aligned with payer requirements and clinical documentation

• Verify insurance eligibility, benefits, and anesthesia-specific coverage rules prior to claim submission

• Manage denials through investigation, correction, appeals, and resubmission workflows

• Post payments accurately and perform detailed account reconciliation and discrepancy resolution

• Handle patient billing inquiries via chat, email, and support channels

• Coordinate with providers, clinical staff, and insurance carriers to obtain documentation and resolve claim issues

• Maintain clean, compliant, audit-ready billing records

What We’re Looking For

• Proven experience in medical billing and/or dental billing (required)

• Strong understanding of revenue cycle management, insurance claims, and coding systems

• Experience managing denials, appeals, and payer disputes

• High attention to detail with strong analytical thinking and disciplined follow-up

• Ability to operate in a fast-paced, structured, performance-driven environment

• Strong written communication skills across multi-channel support (email/chat)


Why This Role Is Different

This is a specialised anesthesia dental billing environment, which requires a higher level of precision and technical understanding than standard billing roles. You will be working with:

• Complex anesthesia time units and modifier calculations

• Clear differentiation between surgical and non-surgical dental procedures

• High insurance scrutiny leading to frequent denials and documentation requests

• Multi-party coordination between dentists, anesthesiologists, and insurance carriers

Success in this role requires consistency, accuracy, and strong ownership of the billing lifecycle.