12 Nov
|
CEC - Clinical Excel Computech
|
Ahmedabad
12 Nov
CEC - Clinical Excel Computech
Ahmedabad
Job Title: Dental RCM Expert (End to End Dental Services)
Location:
Ahmedabad Shift: Night Shifts only; Fixed Off: Saturday & Sunday
About the Role
We are looking for a skilled Dental RCM Expert with comprehensive knowledge and hands-on experience in end-to-end Dental Revenue Cycle Management (RCM) operations. The ideal candidate should have working knowledge of all major Dental RCM processes, including Eligibility Verification (for both General Dentistry and Orthodontic practices), Payment Posting, Accounts Receivable (AR), Billing, Claims Management, Denial Management, and other related functions. The candidate must be familiar with leading dental practice management software and should be capable of handling multiple RCM functions independently across both General and Orthodontic dental practices.
Key Responsibilities
• Handle end-to-end Dental RCM operations, ensuring accuracy and efficiency across the revenue cycle.
• Perform Eligibility Verification (for both General Dentistry and Orthodontic practices), including insurance coverage checks, benefits verification, patient eligibility, and coordination of benefits.
• Manage Payment Posting, including manual and electronic payment posting (ERA/EOB), adjustments, and reconciliation.
• Handle Accounts Receivable (AR) follow-ups, claim status checks, and outstanding balance resolution.
• Manage dental insurance claims submission, claim corrections, and resubmissions.
• Perform denial management,
identify denial reasons, and take appropriate corrective actions.
• Handle insurance billing, patient billing, and account reconciliation.
• Review EOBs, identify underpayments, and resolve payment discrepancies.
• Work on aging reports and ensure timely follow-ups on outstanding claims.
• Identify process gaps and recommend improvements to enhance RCM efficiency.
• Maintain accuracy, productivity, and quality standards while meeting operational targets.
• Coordinate with team members and relevant stakeholders to ensure smooth workflow across RCM functions. Required Skills &
Qualifications:
• Minimum 1+ years of hands-on experience in US Dental RCM.
• Strong understanding of end-to-end Dental Revenue Cycle Management.
• Must have working experience with the following dental practice management software:
• Curve Hero
• Eaglesoft
• Dentrix Ascend
• Dentrix
• Practical knowledge of Eligibility Verification, Payment Posting, AR, Billing, Claims Processing, and Denial Management.
• Ability to independently handle multiple Dental RCM processes.
• Valuable understanding of US dental insurance terminology, EOBs, ERAs, PPO plans, and claim lifecycle.
• Strong analytical, problem-solving, and communication skills.
• Ability to work independently in a fast-paced environment. Please send your resume on
[email protected] or WhatsApp
- (phone hidden)
📌 Dental RCM Expert (Ahmedabad)
🏢 CEC - Clinical Excel Computech
📍 Ahmedabad