Job Description Job Title: Dental Billing & Verification Specialist (US Healthcare)
N n Job 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.
N n Key Responsibilities:
N n1. Eligibility & Perks 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

n 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 Perks (COB): Correctly sequence and bill primary, secondary, and tertiary insurance plans. N

n n3. Payment Posting & AR Follow-Up
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Payment Posting: Accurately post insurance payments from Explanation of Advantages (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,

📌 Hiring: Dental Billing Odhav
🏢 Meditab India
📍 Odhav