• Verify insurance coverage and ensure accurate loading of insurance information for billing purposes • Submit claims to our billing partner • Create invoices for case rates and other billing scenarios as needed • Perform front-end edits on patient demographics, correcting information such as date of birth, addresses, and member IDs • Conduct claim audits and reconciliations to ensure all services are accounted for and billed correctly • Research uninsured and unknown insurance cases to identify potential coverage • Assist in the implementation and testing of billing automation processes • Perform ongoing audits of billing automations to ensure accuracy and efficiency • Serve as a liaison with Operations, identifying opportunities for improvement in front-end data collection • Serve as a SME (Subject Matter Expert) for Navigators on insurance-related questions

• Research and analyze billing-related issues, providing daily support to internal and external customers as required based on the assigned portfolio of accounts. • Analyze billing information to provide recommendations and data to ensure accurate translation of contract and billing information into applicable systems. • Manage specialized billing arrangements and processes that require escalated attention and intervention in order to drive on-time payment. • Manage electronic invoicing processes and analyze invoicing files and data. • Prepare, maintain, and distribute billing reports as required. • Maintain consistent, prompt, and accurate service levels to promote a world-class customer experience. • Provide ideas and leadership to address future requirements within the customer portfolio, striving to uncover opportunities for synergizing collective efforts across billing and GBS tasks, including miscellaneous billing projects/responsibilities as assigned by management.

About Wisdom Wisdom blends industry expertise with advanced technology to make dental practices work better for everyone involved. We believe dentistry is about people, and we exist to make the future of dentistry stronger and more sustainable for dentists, their teams, and the patients they serve. We match administrative teams with expert billers and custom-built technology to take on the heavy lifting of dental billing while maximizing dentists’ time in-office, and their bottom line. Coming from a fresh $21M Series A round of funding we are looking for exceptional candidates to help us build a category-defining company. We are a fully distributed, remote-first team with employees across the US. About The Role Our Insurance Billing Specialists focus on keeping insurance billing moving by submitting claims, posting dental insurance payments, and working insurance aging reports for our customers. This work is at the heart of Wisdom’s service offerings, and is a large part of what allows us to provide outstanding services to the dental offices we serve. As an Insurance Billing Specialist, you’ll: Prepare and submit dental insurance claims promptly and accurately, following up as necessary to ensure prompt payment and resolve any issues or discrepancies with insurance companies Post insurance payments and adjustments to patient accounts, reconciling insurance payments with the PMS and investigating any discrepancies Monitor and manage accounts receivable, ensuring timely collection of outstanding insurance balances and running regular reports on AR to identify trends and areas for improvement Partner directly with offices and insurance companies, acting as their primary point of contact for any insurance-related inquiries and regularly communicating challenges and successes Coordinate with dental offices to ensure accurate coding and documentation for all insurance claims Why Wisdom? Work remotely alongside a fully remote team that knows how to get stuff done, without the pain and drama of in-office work. Flexible hours Support and inclusion no matter your background. Whether you’re a seasoned remote biller or you’re testing the waters for the first time, we’ll set you up with the tools, training, and community support you need to succeed at Wisdom. A better experience for billers. We’re building tools and leveraging technology to save you time and let you focus on earning more, faster. We’d Love to Hear From You If You Have At least 5 years of experience in dental insurance claim submission, claim posting, and AR management Must have a minimum of 8 hours per week of availability during standard business hours (Monday–Friday, 8am–5pm CST)

**🏢 Job Summary:** The **Billing Specialist (3 month contract) **is responsible for accurately preparing and processing invoices for clients based on contractual agreements. This role involves ensuring timely billing, resolving billing discrepancies, maintaining billing records and agreements, and providing support to internal and external clients. The Billing Specialist plays a critical role in ensuring accurate and efficient billing processes. In order to ensure an exceptional result, you will need to have a clear understanding of the challenges and opportunities our clients face and how our teams as a whole combine to deliver our promise. Providing services in a proactive, professional manner while ensuring key parties are kept informed is critical. We are a data driven company and analysis for decision making and overall strategy is ongoing. **🔑 Key Responsibilities:** - Understand and follow the set of standards and processes that produce a predictable result for the client. You must be aware of and maintain our standards. - **Reviewing contracts: **Review contractual agreements to understand the billing terms, payment schedules, and invoicing requirements. - **Creating and sending invoices:** Create and send invoices to customers according to the billing terms outlined in the contractual agreements. Ensure that the invoices are accurate, timely, and comply with accounting standards and regulations. These invoices may also expand to ancillary charges that are outside the scope of the signed contract. (i.e., work done on a T&M basis or Hardware/Software resales) - **Managing billing schedules: **Manage billing schedules for contractual agreements, ensuring that invoices are sent on time and that payments are received according to the payment schedules outlined in the contracts. - **Resolving billing discrepancies:** Resolve billing discrepancies or disputes with customers, working with internal teams and external stakeholders to resolve issues and ensure that payments are received on time. - **Updating billing records:** Maintain accurate billing records for contractual agreements, including invoices, payments received, and any changes to the billing terms or schedules. - **Supporting financial reporting: **Assist in financial reporting activities, including preparing reports and analyses related to contractual billing and revenue recognition.