Job Title: Dental Billing & Verification Specialist (US Healthcare)

Job Summary:
We 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.

Key Responsibilities:

1. Eligibility & Benefits Verification (EV-BV)
- Insurance Verification: Confirm active patient coverage and eligibility via insurance portals or direct phone calls 48 to 72 hours prior to patient appointments.
- Comprehensive Breakdowns: Obtain detailed insurance breakdowns including annual maximums, deductibles, frequencies, waiting periods, missing tooth clauses, and age limits .
- System Updates: Accurately update patient records and insurance fee schedules in the Dental Practice Management Software (PMS).

2.



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

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

📌 Dental Billing (Ahmedabad)
🏢 Meditab India
📍 Ahmedabad