Insurance Specialist

Insurance Specialist

Victoria Oral & Maxillofacial SurgeryLocation: Victoria, TX Employment Type: Full-Time

About Us

Victoria Oral & Maxillofacial Surgery is committed to providing high-quality surgical care in a welcoming, professional environment.

Our team works together to ensure every patient feels informed, comfortable, and supported throughout their treatment.

Position Overview

We are seeking an organized, detail-oriented Insurance Specialist to support our patients and clinical team. This role handles insurance verification, benefit estimates, authorizations, and claims follow-up. The ideal candidate has dental or medical insurance experience, communicates clearly with patients, and is comfortable managing multiple cases at once. Oral surgery experience is strongly preferred.

Key Responsibilities

• Verify medical and dental insurance eligibility, benefits, and coverage before appointments
• Obtain required prior authorizations and referrals
• Prepare accurate treatment estimates and explain insurance benefits and expected patient costs
• Submit claims with the required documentation and follow up on unpaid or denied claims
• Review explanations of benefits, resolve claim discrepancies, and process appeals when needed
• Communicate with insurance carriers, patients, and team members to resolve coverage and billing questions
• Maintain accurate insurance information and notes in patient records
• Work closely with the clinical and front-office teams to support timely scheduling and a smooth patient experience
• Protect patient information and follow HIPAA requirements

Qualifications

• Previous dental or medical insurance experience required
• Experience with insurance verification, authorizations, claims, and denial follow-up
• Oral surgery insurance or billing experience strongly preferred
• Familiarity with both medical and dental benefits preferred
• Strong attention to detail and ability to manage competing deadlines
• Clear, professional communication and patient-service skills
• Dependable and comfortable working in a fast-paced office

Benefits

Eligible full-time employees may receive:

• Competitive compensation
• Health insurance
• Paid time off
• Opportunities for professional growth and development

If you enjoy solving insurance issues and helping patients understand their coverage, we encourage you to apply. We look forward to learning more about you!

Equal Employment Opportunity

Victoria Oral & Maxillofacial Surgery is an Equal Employment Opportunity employer. We consider qualified applicants for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law. Reasonable accommodations are available to qualified individuals with disabilities throughout the application and employment process.