Process Associate - Dental Billing ( EV Specialist)

Qodoro; Ahmedabad District; On-site; INR 350,000 - 550,000; Full time

Job summary

Qodoro is seeking a Process Associate to join its Dental Billing team in Makarba, Ahmedabad, Gujarat. The role focuses on accurate eligibility verification and billing services for US-based clients, with standard night-shift hours.

You will verify insurance eligibility, handle queries, process claims, maintain audit trails, and collaborate with cross-functional teams. English fluency and prior eligibility verification experience are essential.

Qualifications

• Fluent in English with strong verbal communication skills.
• Prior experience in Eligibility Verification is mandatory.

Responsibilities

• Verify dental and medical insurance eligibility for patients.
• Handle billing inquiries and communicate with patients and insurance providers.
• Ensure accurate and timely processing of dental and medical claims.
• Maintain proper documentation in client software with an audit trail.
• Analyze Accounts Receivable data and identify underpayments and denial reasons.
• Perform pre-call analysis and check claim status via payer portals/IVR/phone.
• Handle denial management and follow up for claim resolution.
• Demonstrate understanding of Revenue Cycle Management concepts.
• Provide excellent customer service at all stages.
• Familiarity with healthcare terminology and ICD/CPT codes is a plus.

Skills

English fluency

Eligibility verification

Job description

Process Associate - Dental Billing ( EV Specialist)

upto 2 years

Full-Time

Job Title: Process Associate

Location: Makarba, Ahmedabad, Gujarat (Work From Office)

Experience: 0.5 – 3 years (Eligibility Verification in Dental Billing)

Work Hours: 7:00 PM to 4:00 AM IST or 7:30 PM to 4:30 AM IST or 8:00 PM to 5:00 AM

Salary: As per the market standard and experience

About the Role

We are seeking a Process Associate to work collaboratively with our highly versatile, cross-functional Medical and Dental Billing team, providing accurate and qualitative billing services to clients.

The ideal candidate will work the US shift (Monday to Friday) and should have a strong understanding of Dental Billing and Eligibility Verification processes.

Key Responsibilities

• Verify dental and medical insurance eligibility for patients.
• Handle billing inquiries and communicate effectively with patients and insurance providers.
• Ensure accurate and timely processing of dental and medical claims.
• Maintain proper documentation in client software and ensure a clear audit trail.
• Analyze Accounts Receivable (A/R) data, identify underpayments and top denial reasons, and document appropriately.
• Perform pre-call analysis and check claim status via payer calls, IVR, or web portals.
• Handle denial management and follow up for claim resolution.
• Demonstrate good understanding of Revenue Cycle Management (RCM) concepts.
• Provide excellent customer service and communication at all stages.
• Familiarity with Healthcare terminology, ICD/CPT codes is a plus.

Required Skills and Qualifications

• Fluent in English with strong verbal communication skills.
• Prior experience in Eligibility Verification is mandatory.
• Understanding of Dental Billing and RCM processes.
• Strong interpersonal skills and commitment to excellent customer service.