MaKai Consulting, LLC- Insurance Verification & Billing Specialist (Pooler, GA; Port Wenworth; ...)

Insurance Verification & Billing Specialist
Position Overview

We are seeking a highly organized and experienced Insurance Verification & Billing Specialist to support insurance verification and billing operations within our growing practice. This individual will play a critical role in ensuring accurate insurance coverage verification, timely claims processing, and efficient revenue cycle management.

The ideal candidate is detail-oriented, solutions-driven, and experienced in dental, oral surgery, or medical billing environments. Experience with WinOMS is strongly preferred.

Key Responsibilities
Insurance Verification

Verify patient insurance eligibility, benefits, authorizations, and coverage accurately and efficiently
Resolve insurance discrepancies with patients, providers, and insurance carriers
Maintain current knowledge of insurance policies, coding updates, and payer guidelines
Ensure verification tasks are completed in a timely and accurate manner

Billing & Revenue Cycle

Process claim submissions, payment posting, account follow-up, and denial management
Assist with resolving unpaid or denied claims and insurance appeals
Monitor aging reports and support collections efforts
Ensure billing accuracy and compliance with payer requirements
Collaborate with clinical and front office teams to ensure proper documentation and communication

WinOMS Reporting & Operations

Utilize WinOMS reporting tools to support office performance and workflow efficiency
Provide reporting support for leadership and operational planning
Maintain accurate patient and insurance data within practice systems

Additional Duties

Provide exceptional customer service to patients and team members
Assist with onboarding and training support as needed
Maintain HIPAA compliance and confidentiality standards
Secure escalated patient situations and find reasonable resolutions
Support additional administrative and operational duties as assigned
Serve as the contact person for DCS
Manage DCS spreadsheet and callback spreadsheet tracking
Assist with billing-related WinOMS reporting

Qualifications

Minimum of 3 years of dental, oral surgery, or medical insurance verification/billing experience
Experience with WinOMS software and reporting functions preferred
Strong understanding of insurance claims, billing workflows, and revenue cycle management
Proficient with Microsoft Office and reporting tools

Skills & Attributes

Strong communication and problem-solving skills
Attention to detail and organizational skills
Ability to multitask in a fast-paced environment
Analytical and reporting capabilities
Customer service oriented
Professionalism and confidentiality

Why Join Our Team?

We are committed to building a positive, team-oriented culture where growth, accountability, and patient care come first. This is an excellent opportunity for someone looking to make a direct impact on operational success and patient experience.

Apply today to become part of a team that values excellence, collaboration, and professionalism.

Visit Careers at MaKai Consulting, LLC (HR Done Right)

Personal Information

* First name
* Last name
* Email
* Address
* Phone number

Attachments

Other Information

* Do you have Dental Office Experience? Yes No

* Do you have reliable transportation? Yes No

* Do you have WinOMS Experience? * What city do you live in? * How many years of Insurance Verification / Billing do you have? * Salary desired * Do you have reliable transportation? * How many years of Dental experience?