23 Oct
|
Talent500
|
Bengaluru
23 Oct
Talent500
Bengaluru
Talent500 is hiring for one of its clients.
About Smile Brands:
At Smile Brands, we value our team as our most important asset. We are dedicated to creating a supportive and inclusive environment where every team member has the chance to thrive. Our commitment to fostering a culture of collaboration, continuous growth, and active community involvement ensures that we not only meet our goals but exceed them together
Become a part of a team that is passionate about making a difference in the lives of patients and in the communities we serve. At Smile Brands, your work matters, and your contributions are recognized and celebrated.
About RCM:
Revenue Cycle Management (RCM) is responsible for optimizing the financial performance of the organization by managing the end-to-end revenue cycle—from payment posting, insurance collections, credentialing, fee schedule management, contracting, and insurance accounts receivable resolution. Our primary purpose is to ensure accurate reimbursement, maximize cash flow, reduce revenue leakage, maintain payer compliance, and provide the operational insights needed to support sustainable growth across the organization.
RCM is a highly collaborative function that works closely with Operations, Finance, IT, Clinical Leadership, Human Resources, and external payer partners. The team combines deep expertise in dental revenue cycle operations, analytics, process improvement, and customer service to ensure our practices receive timely and accurate reimbursement while delivering exceptional patient experience.
Job Summary:
Under general supervision,
the Fee Administration Processor I is responsible for entering, validating, and maintaining fee schedules and reimbursement data within company systems. This role focuses on accurate data entry, document review, and support of routine fee schedule implementation activities.
Responsibilities:
- Enter fee schedules into approved system templates.
- Review payer fee schedules and contractual documents for completeness.
- Maintain fee schedule libraries and supporting documentation.
- Audit fee loads for accuracy and completeness.
- Assist with updates to reimbursement rates and provider contracts.
- Research and resolve basic fee schedule discrepancies.
- Monitor assigned work queues and ensure timely completion of requests.
- Collaborate with internal departments regarding fee-related inquiries.
- Maintain accurate records and documentation.
- Meet established productivity and quality standards.
Qualifications:
- High School Diploma or equivalent required.
- Associate degree preferred.
- 1-3 years of healthcare, dental, insurance, revenue cycle, or data entry experience.
- Basic understanding of CDT codes and dental insurance plans preferred.
- Proficiency in Microsoft Excel, Word, and Outlook.
- Strong attention to detail and organizational skills.
- Minimum typing speed of 45 WPM.
Required Skills:
- Fee Schedule Entry (Primary)
- Contract Interpretation (Basic)
- Reimbursement Analysis (Basic)
- Payer Communication (Limited)
- Root Cause Analysis (Assist)
- Process Improvement (Participate)
- System Implementation (Assist)
📌 Fee Schedule Specialist -RCM-30348] (Bengaluru)
🏢 Talent500
📍 Bengaluru