Aum & Diya Solutions Pvt Ltd

Nabagram Colony, Hooghly

A skilled and detail-oriented Dental Claims Specialist to join our dynamic company. You will play a vital role in the accurate and timely submission of dental insurance claims, as well as following up on denied claims and managing essential follow-up items such as narratives, X-rays, crown seat dates, and more for our customer. Your expertise in handling dental claims and proficiency with open dental software and dental Xchange will be essential in ensuring efficient claims processing and maximizing reimbursement for our customers. Responsibilities: 1. Claims Submission: - Prepare and submit dental insurance claims electronically or through paper submission, adhering to established guidelines and protocols. - Verify accuracy and completeness of claim forms, ensuring all required documentation and supporting materials are included. - Utilize open dental software to generate claim submissions and ensure proper coding and documentation. - Collaborate with dental providers and staff to gather necessary information for claims submission. 2. Claims Follow-Up: - Monitor the status of submitted claims and proactively follow up on any outstanding or denied claims. - Investigate and resolve claim discrepancies, including missing or incomplete information, to facilitate prompt reimbursement. - Communicate with insurance companies, providing additional documentation or information as requested. - Coordinate with dental providers and staff to obtain necessary follow-up items such as narratives, X-rays, crown seat dates, and other supporting documentation. 3. Reimbursement Optimization: - Analyze denied claims and identify patterns or trends to implement preventive measures and improve the claims submission process. - Review claim denials, appeal as necessary, and track the progress of appeals. - Stay updated with changes in insurance regulations, coding requirements, and billing guidelines to ensure compliance and maximize reimbursement

A highly experienced Insurance Verification Specialist to join our company. You will play a crucial role in ensuring accurate insurance coverage breakdowns and identifying potential denials for our customers patient base, which primarily consists of PPO insurance plans. Your expertise in handling insurance verifications, specifically in a dental setting, will be instrumental in providing exceptional service to our patients. Responsibilities: Conduct comprehensive insurance verifications for all new patients, providing a detailed breakdown of coverage and benefits. Perform partial insurance breakdowns for existing patients, highlighting potential denials such as missing tooth clauses, waiting periods, maxed-out orthodontic benefits, and patient history implications. Utilize your experience with open dental software to efficiently navigate and extract relevant information for insurance verification purposes. Collaborate with our front office team to ensure accurate documentation of insurance details in patient records. Stay up to date with changes in insurance policies and communicate any pertinent updates to our team. Handle last-minute insurance verifications for emergency patients, ensuring immediate attention to their insurance coverage. Requirements: Proven experience working as an Insurance Verification Specialist in a high patient volume dental practice. Extensive knowledge and understanding of PPO insurance plans and their coverage nuances. Proficiency in providing detailed insurance breakdowns and identifying potential denials in a dental setting. Experience using open dental software to efficiently navigate patient records and extract insurance information. Exceptional attention to detail and ability to spot critical factors that may affect insurance coverage. Strong communication skills to effectively liaise with patients, insurance companies, and internal staff. Ability to work under pressure during emergency situations

A skilled and creative Website Developer to join our dynamic start-up focused on digital marketing. As a Website Developer, you will be responsible for designing, developing, and maintaining our company's websites, ensuring they are visually appealing, user-friendly, and optimized for performance. This is an exciting opportunity to showcase your talent, contribute to the growth of our company, and work in a collaborative environment that fosters creativity and innovation. Responsibilities: Design and develop visually appealing, user-friendly websites using modern web technologies and frameworks. Collaborate with the design team to translate mockups and wireframes into functional websites that align with the company's brand identity. Ensure websites are responsive and optimized for different devices and screen sizes to provide a seamless user experience. Implement best practices in website development, including clean code, proper file organization, and version control using Git. Optimize website performance by optimizing code, compressing images, and implementing caching techniques. Integrate third-party tools and APIs to enhance website functionality and user experience. Conduct thorough testing and debugging to ensure websites are error-free and provide a smooth browsing experience. Stay updated with the latest web development trends, technologies, and best practices, and proactively suggest improvements to enhance website functionality and performance. Collaborate with cross-functional teams, including designers, content creators, and SEO specialists, to ensure seamless integration and optimization of website elements. Provide support and maintenance for existing websites, including troubleshooting issues, updating content, and implementing security measures. Monitor website analytics to identify areas for improvement and make data-driven recommendations to enhance website performance and user engagement. Stay informed about SEO standards