Overall Responsibility: To deliver high quality customer service to doctors or doctor’s office staff, members, community partners and plan sponsor representatives in a professional, respective and helpful manner. Process claims in a timely, accurate manner.

Permanent position – $50K with Benefits – Hybrid after training. Minimum of 2 days in office.

Key responsibilities and accountabilities:

~ Respond to inbound telephone calls, faxes and emails from doctors or doctor’s office staff, and plan sponsor representatives in a timely and professional manner;

~ Respond to inbound telephone calls, faxes and emails from members or member representatives in a timely and professional manner;

~ Process dental claims on system for all clients;

~ Process claim corrections from daily EDI reports;

~ Document communications with doctors and doctor’s office staff, and plan sponsor/employer representatives;

~ Document communications with members and member representatives;

~ Respond to claim inquiries from subscribers, doctors and plan sponsor/employer representatives in a timely and professional manner;

~ Respond to benefit coverage inquiries from members and member representatives in a timely and professional manner;

~ Respond to eligibility inquiries from subscribers, doctors and plan sponsor/employer representatives in a timely and professional manner;

~ Maintain department productivity and quality expectations;

~ Maintain knowledge of dental plan designs, exclusions, limitations and exceptions for each client;

~ Adhere to all process and procedural guidelines; any other duties as assigned

Skills and Attributes:

~ Ability to provide outstanding service

~ Ability to work independently to achieve goals and objectives within defined timeframes

~ Ability to process information through computer systems

~ Ability to adjust priorities and manage time wisely in a fast-paced environment;

~ Ability to communicate in a clear, concise, understandable manner, and listen attentively to others;

~ Ability to prioritize and manage workflow;

~ Ability to meet deadlines;

~ Team player; ability to get along well with others and function as part of a work group;

~ Excellent data entry skills;

Experience:

~ Customer Service

~ Basic knowledge of MS Windows, MS Word, MS Excel;

~ Strong organizational skills;

~ Multilingual a plus.

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Please note that submitting this form does not guarantee employment. Our team may contact you to continue the application process.