Job Description
Job Title: Dental Billing & Verification Specialist (US Healthcare)
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nJob Summary:
nWe are seeking a highly skilled and comprehensive Dental Billing & Verification Specialist to manage the end-to-end revenue cycle for our US-based dental practices. The ideal candidate will handle everything from pre-appointment eligibility/benefit breakdowns to post-appointment claim submission, payment posting, and denial management. Your primary goal is to ensure clean claim submission, minimize revenue leakage, and accelerate the collection process.
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nKey Responsibilities:
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n1. Eligibility & Advantages Verification (EV-BV)
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- Insurance Verification: Confirm active patient coverage and eligibility via insurance portals or direct phone calls 48 to 72 hours prior to patient appointments.n
- Comprehensive Breakdowns: Obtain detailed insurance breakdowns including annual maximums, deductibles, frequencies, waiting periods, missing tooth clauses, and age limits.n
- System Updates:



Accurately update patient records and insurance fee schedules in the Dental Practice Management Software (PMS).n

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n2. Claims Management & Billing
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- Claim Submission: Generate and submit clean electronic and paper claims (with necessary attachments like X-rays, periodontal charts, and narratives) using ADA claim forms.n
- Coding Compliance: Audit clinical notes to ensure accurate application of CDT (Current Dental Terminology) codes and appropriate modifiers.n
- Coordination of Benefits (COB): Correctly sequence and bill primary, secondary, and tertiary insurance plans.n

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n3. Payment Posting & AR Follow-Up
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- Payment Posting: Accurately post insurance payments from Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) into patient accounts.n
- Denial Management: Review, research, and appeal denied, rejected, or short-paid claims in a timely manner.n
- Accounts Receivable (AR): Monitor aging AR reports, follow up wi

📌 Dental Billing (India)
🏢 Meditab India
📍 India