Insurance Collection Specialist [T500-30438]

Talent500; Bengaluru; On-site; INR 350,000 - 500,000; Full time

Job summary

Smile Brands in Bengaluru is seeking an Insurance Collections Specialist I to manage timely follow-up and resolution of routine insurance claim denials, unpaid claims, and underpayments. You will work with dental practices and insurance companies to verify claim status and ensure accurate documentation.

Role requires processing EOB reviews, updating patient demographics, and ensuring timely filing while maintaining productivity and quality within a collaborative Revenue Cycle team.

Qualifications

• Basic understanding of insurance billing claims processing, and collections principles.
• Ability to navigate payer websites, portals, and practice management systems.
• Strong attention to detail and organizational skills.
• Effective verbal and written communication skills.
• Ability to manage assigned work queues and meet production expectations.
• Basic proficiency in Microsoft Office, including Outlook and Excel.
• Ability to learn payer policies, reimbursement methodologies, and collection workflows.
• Strong customer service skills and professional telephone etiquette.
• Ability to work independently and effectively within a team environment

Responsibilities

• Follow up on unpaid, underpaid, and denied insurance claims.
• Verify claim receipt, processing status, eligibility, and benefits.
• Research and resolve routine claim issues and basic denials.
• Review Explanation of Benefits (EOBs) and apply appropriate collection actions.
• Update patient demographics, coverage information, and account details.
• Ensure timely filing requirements are met.
• Document all account activity accurately and completely.
• Respond to office inquiries regarding claim status and collection activity.
• Maintain productivity and quality metrics.
• Manage assigned work queues and aging accounts.
• Escalate complex claim issues, payer disputes, and contractual concerns to senior team members

Skills

Insurance billing

Claim follow-up

Payer portals

Attention to detail

Communication

MS Office

Teamwork

Independence

Education

High School Diploma

Associate degree in Healthcare Administration

Healthcare Billing coursework

Job description

Talent500 is hiring for one of its clients.

About Smile Brands:

At Smile Brands, we value our team as our most important asset. We are dedicated to creating a supportive and inclusive environment where every team member has the opportunity to thrive. Our commitment to fostering a culture of collaboration, continuous growth, and active community involvement ensures that we not only meet our goals but exceed them together

Become a part of a team that is passionate about making a difference in the lives of patients and in the communities we serve. At Smile Brands, your work matters, and your contributions are recognized and celebrated.

About RCM:

Revenue Cycle Management (RCM) is responsible for optimizing the financial performance of the organization by managing the end-to-end revenue cycle—from payment posting, insurance collections, credentialing, fee schedule management, contracting, and insurance accounts receivable resolution. Our primary purpose is to ensure accurate reimbursement, maximize cash flow, reduce revenue leakage, maintain payer compliance, and provide the operational insights needed to support sustainable growth across the organization.

RCM is a highly collaborative function that works closely with Operations, Finance, IT, Clinical Leadership, Human Resources, and external payer partners. The team combines deep expertise in dental revenue cycle operations, analytics, process improvement, and customer service to ensure our practices receive timely and accurate reimbursement while delivering exceptional patient experience.

Job Summary:

Under the direction of the Insurance/Billing Supervisor, the Insurance Collections Specialist I is responsible for the timely follow-up and resolution of routine insurance claim denials, unpaid claims, underpayments, and payer inquiries. This role focuses on foundational collections activities, accurate account documentation, and adherence to departmental productivity and quality standards.

This position requires frequent communication with insurance company representatives, dental practices, and patients.

Responsibilities:

• Follow up on unpaid, underpaid, and denied insurance claims.
• Verify claim receipt, processing status, eligibility, and benefits.
• Research and resolve routine claim issues and basic denials.
• Review Explanation of Benefits (EOBs) and apply appropriate collection actions.
• Update patient demographics, coverage information, and account details.
• Ensure timely filing requirements are met.
• Document all account activity accurately and completely.
• Respond to office inquiries regarding claim status and collection activity.
• Maintain productivity and quality metrics.
• Manage assigned work queues and aging accounts.
• Escalate complex claim issues, payer disputes, and contractual concerns to senior team members.

Qualifications:

Education:

• High School Diploma or equivalent required.
• Associate degree in Healthcare Administration, Business, Finance, or related field preferred.
• Revenue Cycle, Medical Billing, Dental Administration, or Insurance coursework preferred.

Experience:

• 1-3 years of healthcare, dental, insurance, customer service, billing, or collections experience preferred.
• Experience working in a production-based environment preferred.
• Previous exposure to insurance claim processing, billing, or account follow-up is beneficial but not required.
• Dental insurance knowledge preferred but not required.

Required Skills:

• Basic understanding of insurance billing claims processing, and collections principles.
• Ability to navigate payer websites, portals, and practice management systems.
• Strong attention to detail and organizational skills.
• Effective verbal and written communication skills.
• Ability to manage assigned work queues and meet production expectations.
• Basic proficiency in Microsoft Office, including Outlook and Excel.
• Ability to learn payer policies, reimbursement methodologies, and collection workflows.
• Strong customer service skills and professional telephone etiquette.
• Ability to work independently and effectively within a team environment