🕒 May 21
🐊 Florida, Idaho, +16 more states – Remote
⏰ Full Time
🟡 Mid-level
🟠 Senior
💝 Customer Support
🦅 H1B Visa Sponsor
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• Resolving coordination of benefits inquiries by analyzing patient activity (including enrollment, third party liability, claims attachments). • Having a comprehensive understanding of insurance coverage and being able to interpret and communicate accurate information. • Thoroughly and completely documenting all customer interactions. • Educating customers and dental professionals on eligibility, benefits, claims payment, and authorizations. • Educating on the usage and benefits of self-service tools. • Assisting members on gaining access to care by locating a network dentist or assignment to a primary care dentist. • Directing inquiries to necessary departments or individuals when the resolution of the inquiry is beyond the span of control for this role. • Researching and consistently providing accurate information to resolve all member and provider inquiries through verbal and written communications through all channels including phone, email, web portal, and chat interactions. • Responding to and resolving internal and external complex customer inquiries. • Resolving claim payment inquiries by researching and analyzing patient activity and determining appropriate action to be taken. • Taking ownership of the resolution and setting expectation for follow up. • Ensuring resubmissions, stop payments, and voids are appropriately handled. • Meeting or exceeding individual, department, and client specific goals. • Understanding and adhering to all client administrative and contractual policies and procedures. • Suggesting ways to improve the service delivery processes contributing to the success of the organization.
• Private, distraction free workspace (not a shared/common area of the home) • Hard wired ethernet internet connection with minimum speeds of 50 Mbps Download / 10 Mbps Upload. (5G, hotspots, and satellite internet not supported) • Active wireless phone service • Must remain on camera during working hours
• Medical, Dental, and Vision insurance • 401(k) Retirement Savings Plan • Paid Time Off • Paid T-Mobile cell service • Employee referral program • Employee PerkSpot (discounts on retail, hotel, food, restaurants, car rental and much more!!)
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