Provider Engagement Professional
New
Australia, Austria, Belgium, Brazil, Canada, China, Denmark, Finland, France, Germany, Greece, India, Ireland, Italy, Japan, Mexico, Netherlands, Norway, Poland, Portugal, Russian Federation, Spain, Sweden, Switzerland, Turkey, Ukraine, United Kingdom, United StatesFull-TimeMiddle
Salary48,900 - 66,200 USD per year
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Job Details
- Experience
- 2+ years of experience with Dental platforms and/or Dental Benefits
- Required Skills
- Microsoft ExcelCustomer serviceHIPAA
Requirements
- 2+ years of experience with Dental platforms and/or Dental Benefits.
- Strong detail orientation and proactive root cause problem-solving skills.
- Excellent oral and written communication skills.
- Ability to multi-task, manage multiple projects, and meet deadlines.
- Experience with Excel and Outlook.
- Customer Care/Service experience.
- Strong organizational skills.
- Bachelor's degree preferred.
- 3-4 years of experience in the Health Care industry preferred.
- Experience with MTV, CBIS, QicLink, DPNMS preferred.
- Knowledge of Dental Codes preferred.
- Ability to work from a dedicated space with minimal interruptions to protect PHI/HIPAA.
Responsibilities
- Develop and grow positive, long-term relationships with the provider network to support financial and quality performance.
- Educate provider offices on all existing and new products and plans.
- Support provider offices on maintenance and service issues, including claims resolution.
- Work with DSO and large group partners on credentialing and re-credentialing projects.
- Assist with member/provider disputes and provide support to SIU and G&A teams.
- Work proactively with offices regarding fee schedules and financial incentive discussions.
- Add or terminate locations, associates, and products to existing provider relationships.
- Provide support with new product roll-outs and assist in re-contracting efforts.
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