RCM Executive - AR Boston Business Solutions

5.0 - 7.0 years

0 - 0 Lacs

Chennai

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Job Title : Sr. RCM Executive Department : RCM Operations Location : Reventec Office, Chennai Preference will be given to local, qualified candidates from Chennai, with an emphasis on familiarity with the Tamil community Position Summary : The Senior RCM Executive at Reventec is crucial to the success of our dental claims and revenue cycle management operations. This role is responsible for ensuring accurate and timely filing of all dental insurance claims, processing payments, managing denials and appeals, and maintaining effective communication with patients and insurance providers. The Sr. RCM Executive will also manage monthly dental claim reporting and assist with benefits verification, claim preparation, and insurance authorization processes. Key Responsibilities: 1. Review and verify coding for accuracy, ensuring all necessary documentation is completed before claim submission. 2. Process and submit dental claims to primary, secondary, and tertiary insurance providers in compliance with insurance guidelines. 3. Post and reconcile patient and insurance payments accurately, handling EFTs and manual checks. 4. Conduct daily electronic claims follow-up and submit required documentation (e.g., x-rays) to insurers. 5. Resolve claim denials through resubmission, appeals, or CIFs, specifically with Medi-Cal when necessary. 6. Manage Accounts Receivable, including collecting patient balances and assigning overdue accounts to collections as needed. 7. Prepare and review patient accounts before sending statements and assist Financial Counselor with pre-authorizations and estimates. 8. Prepare routine and ad hoc dental reports as required. 9. Assist in credentialing and recredentialing dental providers. 10. Correct account setup errors related to patient data or insurance. 11. Consistently uphold workplace safety standards, following all protective protocols to ensure personal and team safety. 12. Adhere to ergonomic guidelines to promote health and wellness within the office environment. 13. Other duties as assigned by the supervisor. Role Overview Minimum Qualifications 1. At least 5-7 years experience in Oral and Maxillofacial Surgery Billing, with dental RCM experience. 2. Must have at least bachelor's degree 3. Strong communication, customer service, and problem-solving skills. 4. Ability to manage multiple tasks and meet deadlines accurately. 5. Knowledge of Dental & Medical Billing. Additional Knowledge in Medi-Cal, CMSP, and related programs is an asset. 6. Strong organizational skills and ability to work independently or collaboratively, using good judgment and interpersonal skills. 7. Must be a proactive, flexible team player. Requirements 1. Candidate must be Male 2. Maximum Age: 35 years. 3. Ability to Interpret complex regulations, coordinate multiple priorities, and engage effectively with diverse populations. 4. Shift : US Shift (Indian Night Shift) 5. Transportation : Employee's Personal Commute Benefits Package 1. Full-Time Position 2. Five-day Work Week 3. Fixed Off Days on Saturday and Sunday 4. Six U.S. Holidays + One Indian Holiday per Year 5. Four Casual Leaves Annually (One per Quarter) 6. Upon Confirmation (after 180 days from Date of Joining) One Earned Leave per Month 7. CTC Range:50,000 - 70,000 INR (Negotiable for Ideal Candidate)

Posted 1 day ago

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Dentist Clove Dental

1.0 - 6.0 years

3 - 8 Lacs

Hyderabad, Bangalore Rural, Bengaluru

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Company Description As India's largest dental network, Clove Dental operates over 600 clinics across the country. Our team of over 1300 skilled doctors, including general dentists, orthodontists, periodontists, prosthodontist, pedodontist, endodontist, OMFS, OMR is dedicated to providing top-quality dental services with strict sterilization protocols. We offer comprehensive treatments such as orthodontics, dental implants, and oral surgery. With more than 2 million satisfied patients, we take pride in our ethical and transparent approach to dentistry. For more information, visit our website www.clovedental.in Role Description This is a full-time on-site role for a Dentist located in Bangalore, Karnataka, India. The Dentist will be responsible for diagnosing and treating dental issues, performing routine checkups, and providing patient education on oral health care. Additional tasks include developing treatment plans, performing dental procedures such as fillings, extractions, and root canals, as well as referring patients to dental specialists when necessary. The Dentist is also expected to maintain accurate patient records and adhere to the highest standards of practice and sterilization protocols. Criteria BDS or MDS degree 3+ years of working experience for BDS and 1+ years of experience for MDS Valid DCI Registration Good Communication Skills Presentable and Groomed Flexible and Adaptable Quick learner Immediate joiners are preferred Salary will be offered as per the competency Monday will be a weekoff Role & responsibilities Preferred candidate profile

Posted 2 days ago

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