Dental Claim Follow-up Executive / Analyst - US Healthcare [Night shift (US time zones) ]
Company - Healthtech Global LLP
Interested candidates can directly Contact Person:88 66 80 80 80
Note: Looking for Immediate joiners too .
Job Summary
The Dental Claim Follow-up Executive is responsible for tracking, analyzing, and resolving unpaid or denied dental insurance claims for US-based payers. The role ensures timely reimbursement by following up with insurance companies, identifying claim issues, and coordinating with internal teams to maximize revenue.
Key Responsibilities
Follow up on unpaid, underpaid, or denied dental insurance claims with US payers
Analyze Explanation of Benefits (EOBs) and remittance advice to identify discrepancies
Investigate claim denials and rejections and take corrective actions
Resubmit corrected claims with appropriate documentation
Communicate with insurance companies via phone, portals, and email
Verify patient eligibility, coverage, benefits, and claim status
Maintain accurate documentation of follow-up activities in billing systems
Work closely with coding, billing, and AR teams to resolve claim issues
Ensure compliance with HIPAA and US healthcare regulations
Meet productivity and turnaround time (TAT) targets
Required Skills & Qualifications
Knowledge of US dental insurance plans and claim workflows
Experience with dental CPT/CDT codes and modifiers
Strong understanding of EOBs, denials, and payer policies
Good verbal and written communication skills (US payer interaction)
Attention to detail and strong analytical skills
Ability to work independently and meet deadlines
Educational Qualification
12pass , Graduate or undergraduate degree (any discipline preferred)
Experience
0-2 years of experience in US dental billing or dental AR follow-up
Freshers with Good communication Skill.
Work Environment
Night shift (US time zones)
Office
Job Types: Full-time, Fresher
Pay: ₹15,000.00 - ₹30,000.00 per month
Work Location: In person
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