AR Calling - Dental Tech Tales Accelerantz

0.0 - 1.0 years

2 - 2 Lacs

chennai

Work from Office

We are looking for a motivated AR Dental Voice Process Associate to join our dynamic team. In this role, you will be responsible for supporting the Accounts Receivable (AR) function and RCM processes within the US Healthcare industry.

Posted 1 week ago

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SME-Claims HC Cognizant

5.0 - 9.0 years

0 Lacs

karnataka

On-site

Join our team as a Subject Matter Expert in Claims HC where you will leverage your expertise in Facets Claims and Claims Adjudication to optimize our claims processing systems. With a focus on Dental and Commercial Claims you will play a pivotal role in enhancing operational efficiency and ensuring compliance with industry standards. This office-based role offers the opportunity to work in a dynamic environment contributing to impactful projects that benefit both the company and society. Lead the analysis and optimization of claims processing workflows to enhance efficiency and accuracy. Oversee the implementation of Facets Claims and Claims Adjudication systems to ensure seamless integration and functionality. Provide expert guidance on Dental and Commercial Claims processes to ensure compliance with industry standards. Collaborate with cross-functional teams to identify and resolve system issues improving overall operational performance. Develop and maintain documentation for claims processing procedures to support training and knowledge sharing. Monitor and evaluate system performance recommending improvements to enhance service delivery. Conduct regular audits of claims processes to ensure adherence to regulatory requirements and company policies. Facilitate training sessions for team members to enhance their understanding of claims systems and processes. Analyze data trends to identify opportunities for process improvements and cost savings. Support the development of new claims processing initiatives to drive innovation and efficiency. Communicate effectively with stakeholders to provide updates on project progress and system enhancements. Ensure that all claims processing activities align with the company's strategic goals and objectives. Contribute to the development of best practices for claims management to support continuous improvement. Qualifications: - Demonstrate proficiency in Facets Claims and Claims Adjudication with a strong understanding of system functionalities. - Possess in-depth knowledge of Dental and Commercial Claims processes and industry standards. - Exhibit excellent analytical skills to identify and resolve complex system issues. - Show strong communication skills in English both written and verbal to effectively collaborate with team members. - Display a proactive approach to problem-solving and process improvement. - Have a minimum of 5 years of experience in claims processing with a focus on Dental and Commercial Claims. - Be able to work independently and manage multiple tasks in a fast-paced environment. Certifications Required: - Certified Professional Coder (CPC) or equivalent certification in claims processing.,

Posted 1 month ago

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Team Executive - Dental Claims Firstsource

4.0 - 9.0 years

1 - 5 Lacs

Chennai

Work from Office

Job description In-depth Knowledge and Experience in the US Health Care Payer System. 4-9 years of experience in Dental Claims . With over 1 year of experience as a supervisor. Proven track record in managing processes, streamlining workflows and excellent people management skills. Need to be a people centric manager who could articulate the employee challenges to the management as well as motivate the team towards desired project goals. Circulate quality dashboards at agreed periodic intervals to all relevant stake holders Adhering to various regulatory and compliance practices. Maintaining and Ownership of reports both internal as well as for the clients. Presenting the data and provide deep insights about the process to the Clients as well as Internal Management. Managing and co- ordinating training programs. Excellent in Coaching and providing feedback to the team. Take necessary HR actions as part of the Performance Improvement Process. Key Performance Indicators Ensuring that the key Service Level Agreements are met consistently without any exceptions. Leverage all Operational metrices to ensure that the Revenue and Profitability targets are met and exceeded . Work in tandem with all Business functions to ensure smooth business process. Retention of key team members Interested Candidates share your CV - deepalakshmi.rrr@firstsource.com / 8637451071 Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or deepalakshmi.rrr@firstsource.com

Posted 2 months ago

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