Dentist

Location: Sarabhai Campus, Vadodara, Gujarat

Shift: Mid-Shift (3:00 PM 12:00 AM) or Night Shift (6:00 PM 3:00 AM)

Qualification: BDS / MDS

Employment Type: Full-Time

About the Role

We are looking for a dentist to join our dental revenue cycle management (RCM) team supporting dental practices in the United States. The role combines clinical knowledge with dental insurance billing, claim processing, pre-authorizations, and insurance follow-ups.

Key Responsibilities

Clinical Review & Documentation

• Review treatment plans, dental radiographs, periodontal charts, and clinical notes.
• Evaluate clinical justification and medical necessity for proposed dental procedures.
• Prepare clinical necessity narratives for claims and pre-authorizations.
• Identify documentation deficiencies and coordinate with dental offices to resolve them.

Claims & Insurance Follow-ups

• Submit dental insurance claims and pre-determinations/pre-authorizations.
• Follow up on pending, denied, rejected, or underpaid claims through insurance portals, email, and telephone.
• Resolve claim deficiencies by submitting required documentation, corrected claims, and appeals where appropriate.
• Understand dental procedures, CDT codes, and US dental insurance requirements.

Voice & Non-Voice Operations

• Call US insurance companies and dental offices to discuss claim status, denials, and documentation requirements.
• Maintain claim trackers, update follow-up records, and prepare daily tracker and productivity reports.
• Ensure timely follow-ups, accurate documentation, and quality standards.

Eligibility & Skills

• BDS / MDS from a recognized dental institution.
• Freshers are welcome; dental clinical experience or dental RCM experience is an advantage.
• Good understanding of dental procedures and clinical documentation.
• Good written and spoken English with confidence in telephone communication.
• Basic computer skills, attention to detail, and willingness to work US-aligned shifts.

Apply now!