Dental Claims Specialist

Aum & Diya Solutions Pvt Ltd

A skilled and detail-oriented Dental Claims Specialist to join our dynamic company. You will play a vital role in the accurate and timely submission of dental insurance claims, as well as following up on denied claims and managing essential follow-up items such as narratives, X-rays, crown seat dates, and more for our customer. Your expertise in handling dental claims and proficiency with open dental software and dental Xchange will be essential in ensuring efficient claims processing and maximizing reimbursement for our customers.

Responsibilities:

1. Claims Submission:

- Prepare and submit dental insurance claims electronically or through paper submission, adhering to established guidelines and protocols.

- Verify accuracy and completeness of claim forms, ensuring all required documentation and supporting materials are included.

- Utilize open dental software to generate claim submissions and ensure proper coding and documentation.

- Collaborate with dental providers and staff to gather necessary information for claims submission.

2. Claims Follow-Up:

- Monitor the status of submitted claims and proactively follow up on any outstanding or denied claims.

- Investigate and resolve claim discrepancies, including missing or incomplete information, to facilitate prompt reimbursement.

- Communicate with insurance companies, providing additional documentation or information as requested.

- Coordinate with dental providers and staff to obtain necessary follow-up items such as narratives, X-rays, crown seat dates, and other supporting documentation.

3. Reimbursement Optimization:

- Analyze denied claims and identify patterns or trends to implement preventive measures and improve the claims submission process.

- Review claim denials, appeal as necessary, and track the progress of appeals.

- Stay updated with changes in insurance regulations, coding requirements, and billing guidelines to ensure compliance and maximize reimbursement

• Experience

  2 - 6 Years

• No. of Openings

  3

• Education

  Diploma, Professional Degree, Vocational Course

• Role

  Dental Claims Specialist

• Industry Type

  Hospitals / Medical / Healthcare Equipments

• Gender

  [ Male / Female ]

• Job Country

  India

• Type of Job

  Full Time

• Work Location Type

  Work from Office