24 Oct
|
Talent500
|
Bengaluru
24 Oct
Talent500
Bengaluru
Talent500 is hiring for one of its clients. About Smile Brands: At Smile Brands, we value our team as our most key asset. We are dedicated to creating a supportive and inclusive environment where every team member has the opportunity 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.
Responsibilities:
• Follow up on unpaid, underpaid, and denied orthodontic insurance claims.
• Verify claim receipt, processing status,
eligibility, and benefits.
• Research and resolve orthodontic claim issues and simple denials.
• Update patient demographics, coverage information, and account details.
• Process zero-pay and partial-pay EOBs following established guidelines.
• Ensure timely filing requirements are met.
• Document all account activity accurately and completely.
• Respond to office inquiries regarding claim status and collections activity.
• Maintain productivity and quality metrics.
• Escalate complex claim issues to senior team members.
• Orthodontic claims are not point of service they are paid over a set time period diagnosed by the doctor.
Qualifications:
Education:
• High School Diploma or equivalent required.
• Associate degree in Healthcare Administration, Business, Finance, or related field preferred.
• Revenue Cycle, Insurance Billing, or Dental Administration coursework preferred.
Experience:
• 1–3 years of healthcare, dental, insurance, or collections experience.
• Customer service, call center, or administrative experience preferred.
• Orthodontic insurance knowledge preferred but not required. Required
Skills:
• Basic understanding of insurance billing and collections processes.
• Ability to navigate payer websites and insurance portals.
• Strong attention to detail and organizational skills.
• Effective verbal and written communication skills.
• Ability to manage work queues and meet production goals.
• Basic proficiency in Microsoft Office applications.
• Ability to learn orthodontic insurance and reimbursement concepts.
📌 Orthodontic Insurance Collection Specialist (Bengaluru)
🏢 Talent500
📍 Bengaluru