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Pro Clinical Solutions

2 Job openings at Pro Clinical Solutions
Dental Billing Ahmedabad,Gujarat,India 0 years Not disclosed On-site Full Time

Company Profile:Pro Clinical Solutions is one of the fastest-growing medical billing companies, offering immense opportunities for professional growth within an exceptional working environment. We are a leading provider of comprehensive billing solutions with operations in New York, Texas, United States, Canada, and India. Join us to be part of a dynamic team that is rapidly expanding and making a significant impact in the medical billing industry. Roles And ResponsibilityHandle end-to-end dental billing processes including claims submission, posting payments, and resolving denials.Verify patient insurance eligibility and benefits prior to services being rendered.Review and analyze Explanation of Benefits (EOBs) and ensure proper follow-up on outstanding claims.Communicate with insurance companies for claim status, corrections, and appeals.Collaborate with front desk and clinical teams to ensure accurate billing data.Maintain records in compliance with HIPAA and dental insurance standards.Generate and review billing reports to ensure revenue accuracy. Requirements:Minimum 1–5 years of experience in dental billing or healthcare revenue cycle management.Familiarity with dental insurance plans (PPO, HMO, Medicaid, etc.).Proficiency in using dental practice management software (e.g., Open Dental, Dentrix, Eaglesoft ).Strong attention to detail, problem-solving skills, and communication abilities.Ability to work independently with minimal supervision.

AR Specialist ahmedabad,gujarat,india 0 years None Not disclosed On-site Full Time

Company Profile: Pro Clinical Solutions LLP is a leading provider of medical billing services, dedicated to helping healthcare providers improve their revenue cycle management. We offer comprehensive solutions that include claim creation, submission, and follow-up to ensure timely and accurate reimbursement. Our team is committed to maintaining the highest standards of accuracy and compliance in all our processes. Designation: Account Receivable (AR) Specialist Qualifications: Education: Any graduate, certification in medical billing and coding preferred. Experience: Fresher Roles and Responsibilities: Work on denials and any piled-up claims that have not been followed up Review all data related to claims for the entire year and analyze the claims. Assess denied claims and communicate with insurance companies to resolve issues. Re-submit corrected claims to insurance companies after addressing denials. Check the status of claims to determine how many are recoverable and non-recoverable. Provide regular reports on claim status, denial trends, and recovery rates. Regularly follow up with insurance companies to ensure timely resolution and payment of claims. Skills: Strong knowledge of medical billing and coding. Proficiency with medical billing software and electronic health records (EHR) systems. Excellent attention to detail and analytical skills. Good communication and organizational skills. Strong problem-solving skills. Familiarity with insurance guidelines and regulations