Naveen Jangwan

Subject Matter Expert {SME} :-

1) To ensure client receives best insurance verification services and billing services

2) To inform the client wether they are participating provider with insurance or not

3) To provide with the correct and accurate benefit information so that there is no scope of any claim denials

4) To enter all the patient's benefit information into client specific PMS {For eg Dentrix or Eaglesoft}

5) To check for any open claims on the policy and to determine if we have to bill from or secondary insurance

6) To check for any waiting period, missing tooth clause and verifying several ADA codes

7) To check the history if the patient is eligible for ny particular service or treatment on the appointment date

8) Prepare and submit accurate claims to insurance companies

9) Verify patient insurance coverage and eligibility with insurance providers

10) Submit claims within timely filling limits

11) Prepare invoices for our clients for the service rendered

12) Coordinate with billing and coding departments to ensure accurate claims submission

13) Review and interpret insurance policy details to determine coverage applicability

14) Prepare and submit appeals with proper documentation

15) Maintain transparency and accuracy in invoices

16) Check the credentialing for the provider and submit the application according