Dental Claims Specialist

7 days ago


Noida, Uttar Pradesh, India beBeeAdjudication Full time ₹ 15,00,000 - ₹ 28,00,000
Job Description

Our organization is seeking a highly skilled and detail-oriented Dental Claims Approver III to join our team. The successful candidate will be responsible for scrutinizing dental claim documents and settlements, processing claims according to established healthcare guidelines, and ensuring compliance with internal policies and procedures, external regulations, and information security standards.

Key Responsibilities
  • Review and analyze dental claim documents to ensure accuracy and adherence to guidelines
  • Process claims in a timely and efficient manner, meeting productivity targets while maintaining high-quality output
  • Stay up-to-date with the latest developments in claims adjudication fundamentals and ICT & CPT Codes
  • Collaborate with cross-functional teams to resolve escalations and address customer concerns
Required Skills and Qualifications
  • Proven experience in claims analysis and processing
  • Excellent knowledge of HIPAA guidelines and regulations
  • Strong understanding of deductibles, coinsurance, copay, and out-of-pocket expenses
  • Able to learn and adapt quickly to new processes and technologies
Benefits
  • Competitive compensation package
  • Opportunities for professional growth and development
  • Collaborative and dynamic work environment
What We Offer

As a Dental Claims Approver III, you will have the opportunity to work with a talented team of professionals who are passionate about delivering exceptional results. Our organization offers a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off.


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