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0.0 - 4.0 years
0 Lacs
noida, uttar pradesh
On-site
As an Insurance Verification Specialist in the dental billing domain at Sector-63 Noida, your role involves ensuring accurate and timely verification of patients" dental insurance coverage. You will be responsible for coordinating with insurance providers, updating coverage details in practice management software, and supporting dental practices in streamlining their billing processes. - Verify patients" insurance eligibility, benefits, and coverage details. - Identify and confirm coverage for dental procedures, including limitations, waiting periods, and frequency. - Contact insurance companies via phone, email, or online portals to verify coverage details. - Resolve discrepancies and clari...
Posted 1 week ago
2.0 - 4.0 years
0 Lacs
mumbai, maharashtra, india
On-site
About PracticeSuite PracticeSuite is a leading cloud-based Healthcare SaaS provider offering an end-to-end platform for medical practices including Practice Management, Medical Billing, and Electronic Health Records (EHR) systems. Our solutions support thousands of providers across the United States, helping them streamline clinical, administrative, and financial operations. Position Overview We are seeking a Customer Support Analyst with hands-on experience in US Healthcare operations to join our dynamic support team. This role is responsible for assisting healthcare clients with software usage, troubleshooting issues, and ensuring high levels of customer satisfaction. The ideal candidate w...
Posted 3 weeks ago
2.0 - 5.0 years
2 - 5 Lacs
pune
Work from Office
Job Title: Credentialing Specialist (Provider Enrollment)- Credentials. Skills : Credentialing, Insurance Eligibility, Enrollment Location : Pune ( Baner ) Education: Graduate. Experience: 2-5 Years Cab Facility : Both sides cab Profile Overview: • Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases. • Keep track of expiration dates for state DEA licenses, board certifications, and malpractice insurance for individual providers. Key Responsibilities : • Maintain individual provider files with up-to-date information for governmental and commercial payer credentialing applications. • Track contracted Managed Care Organizations, commercial payers, CMS Medicare, Medicaid...
Posted 1 month ago
2.0 - 4.0 years
1 - 4 Lacs
bengaluru
Work from Office
Eligibility Verification Specialist Responsibilities: Verify patient insurance eligibility and benefits prior to scheduled visits or procedures. Confirm coverage for exams, diagnostic tests (OCT, visual fields, etc.), and surgical procedures. Document copays, deductibles, coinsurance, and authorization requirements. Communicate insurance details to patients and front office staff. Work with insurance carriers to resolve eligibility issues. Maintain up-to-date records for compliance and billing accuracy. Qualifications: 2 and above years of experience in medical eligibility verification. Familiarity with payer requirements. Strong communication and customer service skills. Ability to manage m...
Posted 2 months ago
1.0 - 5.0 years
0 Lacs
pune, maharashtra
On-site
As a Credentialing Specialist (Provider Enrollment) at our office in Pune, you will play a crucial role in maintaining accurate provider profiles on various databases such as CAQH, PECOS, NPPES, and CMS. With a minimum of 1-3 years of experience in credentialing, your primary responsibility will be to ensure that all provider profiles are up to date and compliant with regulatory requirements. Your key responsibilities will include collaborating with providers to update their CAQH files in accordance with CMS Medicare/Medicaid and Managed Care Organizations regulations. Additionally, you will be responsible for monitoring and maintaining the credentialing, re-credentialing, and contracting pr...
Posted 3 months ago
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