Responsibilities

• Learn and get trained on US healthcare, US dental industry, and Revenue Cycle Management (RCM) processes.

• Create and review insurance claims using billing software, ensuring all required information and coding are correct before submission.

• Validate patient and insurance details, treatment codes, and billing data to minimize rejections or denials.

• Perform accurate and efficient data entry for claim creation and verification.

• Identify and correct claim coding errors prior to submission.

• Respond to insurance carrier requests by submitting additional documentation or corrections as needed.

• Escalate complaints in a timely manner (if applicable), using all available resources and reference material.

• Maintain team collaboration, inter and intra-team communication, and drive process improvements.

• Maintain detailed logs and documentation for each claim to track submission and corrections.

• Collaborate with Eligibility and Accounts Receivable teams when claims are rejected or require re-submission.

• Support process improvements by sharing insights on claim trends or recurring errors.

• Adhere to compliance, quality standards, and turnaround times (TATs).

 

Skills and Qualifications

• Basic understanding of US Healthcare/Dental RCM (training will be provided for freshers).

• Strong attention to detail and accuracy in data entry.

• Good written and verbal communication skills.

• Proficiency in MS Office (Word, Excel) and general computer operations.

• Analytical thinking with the ability to identify errors and discrepancies.

• Ability to work in a structured, fast-paced environment.

• Graduation or diploma or equivalent qualification preferred.

• Students with backlogs can attend the interview.

 

Location:

Trivandrum