Medical Claims & Billing Specialist
- Finance
- Full time
- Trinidad and Tobago
- 4 hour(s) ago
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.