Billing Insurance Jobs in Texas (NOW HIRING)

Smile Brands is one of the nation's largest dental support organizations (DSO), and we are seeking a detail-oriented Insurance Billing & Collections Specialist to support insurance accounts receivable operations in San Antonio, TX. This role is responsible for claim follow-up, denial resolution, appeals, aging account management, and payment reconciliation across multiple dental practices. The ideal candidate will possess a strong understanding of dental insurance processes, explanation of benefits (EOBs), timely filing requirements, payer follow-up, and accounts receivable best practices, along with the ability to work efficiently in a fast-paced revenue cycle environment.

In this role, you will be expected to manage assigned inventory productively, maintain accurate and thorough documentation, meet follow-up timeliness standards, and contribute to reducing aging balances and preventable denials while supporting a positive patient and payer experience.

This is a full-time, on-site role. Following completion of training, employees who meet performance expectations may be eligible for a hybrid schedule of up to two work-from-home days per week. Hybrid eligibility is performance-based and subject to business needs.

• Monitor and work assigned insurance accounts receivable to drive timely resolution and maximize reimbursement.
• Follow up with commercial, PPO, Medicaid, and other payers to verify claim status, identify denials, and resolve underpaid, unpaid, zero-paid, and partially paid claims.
• Review explanation of benefits (EOBs), remittance details, and payer correspondence to determine root cause and next steps for account resolution.
• Prepare and submit corrected claims, appeals, claim inquiries, reconsiderations, and required attachments within payer and timely filing guidelines.
• Research and correct account issues including demographics, subscriber data, eligibility, coordination of benefits, plan limitations, missing documentation, and payer-specific billing requirements.
• Audit claims and patient accounts for completeness and accuracy, including narratives, attachments, referral information, and supporting clinical documentation when required.
• Partner with practice teams, internal departments, and payer representatives to resolve claim barriers and reduce avoidable denials.
• Maintain accurate notes, account actions, and follow-up dates in the practice management system to support visibility and continuity of work.
• Track aging trends, escalation items, and payer issues, and communicate opportunities for process improvement to leadership.
• Stay current on payer policies, reimbursement rules, dental coding updates, and revenue cycle best practices relevant to a multi-site DSO environment.

• 2 years of dental insurance collections, dental billing, or revenue cycle management experience
• Working knowledge of dental insurance plans, claim submission workflows, denials management, appeals, EOB interpretation, and timely filing requirements.
• Strong attention to detail, organization, follow-through, and accuracy in documentation.
• Effective verbal and written communication skills with the ability to work collaboratively across teams.
• Comfortable navigating practice management systems, payer portals, and Microsoft Office applications, especially Excel.

• Experience supporting a dental support organization (DSO), multi-site group practice, or centralized billing office.
• Knowledge of Dentrix Ascend or similar dental practice management platforms.
• Familiarity with payer escalation pathways, secondary claims, coordination of benefits, and insurance aging analysis.
• High school diploma or equivalent.

Benefits are determined by employment status/hours worked and include paid time off (“PTO”), health, dental, vision, health savings account, telemedicine, flexible spending accounts, life insurance, disability insurance, employee discount programs, pet insurance, and a 401k plan. 

Smile Brands supports over 650 affiliated dental practices across 28 states all focused on a single mission of delivering Smiles For Everyone!® Smiles for patients, providers, employees, and community partners. Everyone. Our growing portfolio of affiliated dental brands and practice models range from large regional brands to uniquely branded local practices. This role is associated with the affiliated dental office listed at the top of the job posting on our career site.

Smile Brands Inc. and all Affiliates are Equal Opportunity Employers. We celebrate diversity and are committed to providing an inclusive workplace for all employees. We are proud to be an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, creed, gender (including gender identity and gender expression), religion, marital status, registered domestic partner status, age, national origin, ancestry, physical or mental disability, sex (including pregnancy, childbirth, breastfeeding or related medical condition), protected hair style and texture (The CROWN Act), genetic information, sexual orientation, military and veteran status, or any other consideration made unlawful by federal, state, or local laws. If you would like to request an accommodation due to a disability, please contact us at careers@smilebrands.com

• 2 years of dental insurance collections, dental billing, or revenue cycle management experience
• Working knowledge of dental insurance plans, claim submission workflows, denials management, appeals, EOB interpretation, and timely filing requirements.
• Strong attention to detail, organization, follow-through, and accuracy in documentation.
• Effective verbal and written communication skills with the ability to work collaboratively across teams.
• Comfortable navigating practice management systems, payer portals, and Microsoft Office applications, especially Excel.