Plan Setup Specialist - RCM [T500-30355]

Talent500; Bengaluru; Sur place; INR 300 000 - 460 000; Plein temps

Résumé du poste

Smile Brands in Bengaluru seeks a Plan Coordinator I to manage employer plans and insurance carrier records, ensuring accurate data entry and timely plan updates. You will verify information, research benefits, and support dental offices with plan setup inquiries, contributing to compliant and efficient operations.

The role emphasizes attention to detail, organizational skills, and reliable data handling in a healthcare environment. Training is provided to ensure adherence to processes.

Qualifications

• High School Diploma or equivalent.
• 1-3 years of healthcare, insurance, dental, or data entry experience.
• Strong attention to detail and organizational skills.
• Typing speed of 50+ WPM preferred.
• Basic understanding of insurance terminology preferred.

Responsabilités

• Create and maintain employer plans and insurance carrier records.
• Enter and update plan setup information accurately and timely.
• Verify data against source documents and contractual information.
• Maintain organized and accurate plan records and documentation.
• Research basic benefit questions using payer websites and available resources.
• Verify patient eligibility, benefits, waiting periods, limitations, and frequencies as needed.
• Support dental offices with routine plan setup inquiries.
• Participate in benefit expiration reviews and plan maintenance activities.
• Meet established productivity and quality standards.
• Maintain compliance with departmental procedures and documentation standards.

Connaissances

Attention to detail

Organizational skills

Typing speed 50+ WPM

Insurance terminology knowledge

Formation

High School Diploma or equivalent

Description du poste

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 general supervision, the Plan Coordinator I is responsible for creating, maintaining, and updating employer plans, insurance carrier records, and benefit configurations within company systems. This role focuses on accurate data entry, validation of plan information, and support of daily operational requests.

Responsibilities:

• Create and maintain employer plans and insurance carrier records.
• Enter and update plan setup information accurately and timely.
• Verify data against source documents and contractual information.
• Maintain organized and accurate plan records and documentation.
• Research basic benefit questions using payer websites and available resources.
• Verify patient eligibility, benefits, waiting periods, limitations, and frequencies as needed.
• Support dental offices with routine plan setup inquiries.
• Participate in benefit expiration reviews and plan maintenance activities.
• Meet established productivity and quality standards.
• Maintain compliance with departmental procedures and documentation standards.

Qualifications:

• High School Diploma or equivalent.
• 1-3 years of healthcare, insurance, dental, or data entry experience.
• Strong attention to detail and organizational skills.
• Typing speed of 50+ WPM preferred.
• Basic understanding of insurance terminology preferred.