Medical Billing & Cross-Coding Specialist (Oral Surgery)

Job Title: Medical Billing & Cross-Coding Specialist (Oral Surgery)

Position type: Full-Time

Work hours: 8:00 AM to 5:00 PM Pacific Daylight Time

Work days: Monday to Friday

Salary: $6 - $7 per hour, depending on experience

Job code: ST-OS 2

Workplace: Remote

Preferred Candidate Location: Philippines

We are seeking a highly detail-oriented and experienced Medical Billing & Cross-Coding Specialist (Oral Surgery) to join a busy and growing oral surgery practice. This role is ideal for a healthcare professional with hands-on experience in medical billing and cross-coding between medical and dental insurance, particularly within an oral surgery or dental specialty environment.

To ensure a smooth transition into the role, candidates must have prior hands-on experience using Open Dental and be comfortable navigating the platform for billing, patient records, and practice management. The ideal candidate should be able to contribute with minimal training and quickly integrate into the practice's existing workflows.

The successful candidate will play a key role in ensuring accurate billing, coding, and reimbursement processes while maintaining the highest standards of compliance and patient confidentiality. Because this position directly impacts revenue cycle performance, we are looking for someone who can work independently, learn quickly, and perform with exceptional accuracy from day one.

The ideal candidate is reliable, proactive, and a strong critical thinker who is comfortable working in a fast-paced oral surgery practice. They should possess excellent communication skills, a solid understanding of oral surgery terminology and workflows, and the ability to manage detailed billing processes with minimal supervision.

If you take pride in accuracy, accountability, and helping healthcare practices operate efficiently, we'd love to hear from you.

Scope of Work / Responsibilities

Medical Billing & Cross-Coding

• Process medical claims accurately for oral surgery procedures
• Perform cross-coding between dental and medical insurance
• Review documentation to ensure accurate coding and billing submission
• Support insurance reimbursement processes and resolve billing discrepancies
• Maintain accurate billing records and documentation

Insurance Coordination & Compliance

• Verify insurance eligibility and benefits as needed
• Assist with claim follow-ups and reimbursement tracking
• Ensure all billing activities comply with HIPAA and healthcare regulations
• Protect confidential patient information and maintain accurate documentation

Administrative & Operational Support

• Utilize Open Dental to manage billing workflows, patient records, and practice information
• Collaborate with providers and administrative staff to support billing workflows
• Maintain organized billing records and reports
• Assist with workflow improvements and operational projects as assigned
• Perform additional administrative duties to support the practice as needed

Top 3 Priorities

1. Medical Billing & Cross-Coding Accuracy

Accurately process medical billing and cross-code dental and medical procedures to support timely reimbursements and minimize claim errors.

2. Compliance & Attention to Detail

Maintain the highest standards of HIPAA compliance, documentation accuracy, and patient data security.

3. Productivity & Reliability

Consistently deliver high-quality work, manage priorities efficiently, and provide dependable support in a fast-paced oral surgery practice.

Requirements

Required Skills & Experience

Medical Billing & Cross-Coding Experience

• Previous experience with medical billing is required
• Hands-on experience with medical and dental cross-coding is strongly preferred
• Experience supporting oral surgery, dental specialty, or surgical practices is highly preferred
• Strong understanding of medical billing workflows, insurance reimbursement processes, and claim management

Systems & Software Experience

The following experience is required:

• Open Dental – Required. Candidates must have hands-on experience using Open Dental for billing, patient records, scheduling, or practice management within a dental or oral surgery practice.
• Experience working with medical and dental insurance claims and billing workflows.

Preferred experience includes:

• Delta Dental insurance integration (EOB processing)
• Zoom Phone or similar VoIP systems

Healthcare Knowledge

• Strong knowledge of oral surgery procedures, terminology, and clinical workflows
• Ability to understand clinical documentation and apply accurate billing and coding practices
• Familiarity with healthcare compliance standards and HIPAA regulations

Professional Skills

• Strong attention to detail and organizational skills
• Excellent critical thinking and problem-solving abilities
• Reliable, proactive, and able to work independently
• Strong productivity and time-management skills
• Professional verbal and written English communication
• Comfortable following established processes while adapting to changing priorities

Ideal Candidate Profile

We are looking for someone who is:

• Highly dependable and accountable
• Committed to delivering accurate, high-quality work
• Able to learn new processes quickly
• Comfortable working in a detailed, accuracy-driven environment
• Focused, organized, and self-motivated
• Professional when communicating with providers, insurance companies, and team members
• Interested in building a long-term career with a growing healthcare practice

Basic Requirements

• Must be proficient in speaking and writing clear, professional English
• Must have relevant healthcare or administrative work experience
• Must be able to submit an NBI Clearance and/or Local Police Clearance before onboarding (mandatory)
• Must be available for video meetings with camera on when required

Technical Requirements

• Device: Reliable laptop or desktop computer
• Internet: High-speed internet connection (minimum 25 Mbps)
• Audio: Noise-canceling headset
• Video: Webcam for virtual meetings
• Workspace: Quiet and professional work environment

Benefits

• Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication.
• 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 our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients.
• Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention.
• Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to 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 only if offered by the client.
• 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 offer bonuses, incentives, or increased hours based on your performance.

These are optional resources and client-approved allowances available to you as an independent contractor. Any resources, training, or allowances listed are optional contractor perks and not employee benefits.