19 Oct
|
DDS Network
|
India
Location: Sarabhai Campus, Vadodara, Gujarat
Shift: Mid-Shift (3:00 PM 12:00 AM) or Night Shift (6:00 PM 3:00 AM)
Qualification: BDS / MDS
Employment Type: Full time
About the Role
We are looking for a dentist to join our dental revenue cycle management (RCM) team supporting dental practices in the United States. The role combines clinical knowledge with dental insurance billing, claim processing, pre-authorizations, and insurance follow-ups.
Key Responsibilities
Clinical Review & Documentation
Review treatment plans, dental radiographs, periodontal charts, and clinical notes.
Evaluate clinical justification and medical necessity for proposed dental procedures.
Prepare clinical necessity narratives for claims and pre-authorizations.
Identify documentation deficiencies and coordinate with dental offices to resolve them.
Claims & Insurance Follow-ups
Submit dental insurance claims and pre-determinations/pre-authorizations.
Follow up on pending, denied, rejected, or underpaid claims through insurance portals, email, and telephone.
Resolve claim deficiencies by submitting required documentation, corrected claims, and appeals where appropriate.
Understand dental procedures, CDT codes, and US dental insurance requirements.
Voice & Non-Voice Operations
Call US insurance companies and dental offices to discuss claim status, denials, and documentation requirements.
Maintain claim trackers, update follow-up records, and prepare daily tracker and productivity reports.
Ensure timely follow-ups, accurate documentation, and quality standards.
Eligibility & Skills
BDS / MDS from a recognized dental institution.
Freshers are welcome; dental clinical experience or dental RCM experience is an advantage.
Valuable understanding of dental procedures and clinical documentation.
Valuable written and spoken English with confidence in telephone communication.
Basic computer skills, attention to detail, and willingness to work US-aligned shifts.
Apply now!
📌 Dentist Vadodara (India)
🏢 DDS Network
📍 India