Medical Billing & Cross-Coding Specialist – Oral Surgery

This is a fully remote position, open to applicants in Philippines.

📋 Description

• Accurately process medical claims for oral surgery procedures.

• Conduct cross-coding between dental and medical insurance.

• Review documentation to guarantee precise coding and billing submissions.

• Assist in insurance reimbursement processes and address billing discrepancies.

• Maintain precise billing records and documentation.

• Verify insurance eligibility and benefits as necessary.

• Aid in claim follow-ups and reimbursement tracking.

• Ensure all billing activities adhere to HIPAA and healthcare regulations.

• Safeguard confidential patient information while maintaining accurate documentation.

• Utilize Open Dental for managing billing workflows, patient records, and practice information.

• Collaborate with providers and administrative staff to facilitate billing workflows.

• Keep organized billing records and reports.

• Assist with workflow enhancements and operational projects as assigned.

• Perform additional administrative tasks to support the practice as needed.

⛳️ Requirements

• Prior experience in medical billing is essential.

• Practical experience with medical and dental cross-coding is highly preferred.

• Experience in supporting oral surgery, dental specialty, or surgical practices is strongly favored.

• Solid understanding of medical billing workflows, insurance reimbursement processes, and claims management.

• Open Dental experience is required. Candidates should have practical experience using Open Dental for billing, patient records, scheduling, or practice management in a dental or oral surgery setting.

• Strong knowledge of oral surgery procedures, terminology, and clinical workflows.

• Ability to interpret clinical documentation and apply accurate billing and coding practices.

• Familiarity with healthcare compliance standards and HIPAA regulations.

• Exceptional attention to detail and organizational skills.

• Strong critical thinking and problem-solving capabilities.

• Dependable, proactive, and able to work independently.

• Strong productivity and time management skills.

• Professional verbal and written communication skills in English.

• Comfortable adhering to established processes while being adaptable to changing priorities.

• Proficiency in speaking and writing clear, professional English is a must.

• Relevant healthcare or administrative work experience is mandatory.

• Submission of an NBI Clearance and/or Local Police Clearance is required before onboarding (mandatory).

• Availability for video meetings with the camera on when required.

🏝️ Benefits

• Dedicated HR & Contractor Support Team: Access to exceptional support for inquiries, guidance, contract matters, and communication with clients.

• Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks.

• HIPAA & Cybersecurity Training + Certification (Provided): Access to internal HIPAA compliance training, cybersecurity modules, and certification to confidently handle PHI for U.S. healthcare clients.

• Top 1% VA Performance Training: Access to proprietary training on communication, client management, productivity systems, and best practices to help you excel as a top-performing VA and improve long-term client retention.

• Client-Approved U.S. Holidays: Contractors may take U.S. holidays off based on the client’s needs and schedule.

• Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and contingent upon client offerings.

• Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best.

• Optional Performance-Based Incentives: Some clients may provide bonuses, incentives, or increased hours based on your performance.