🕒 May 21
🐊 Florida, Idaho, +16 more states – Remote
⏰ Full Time
🟡 Mid-level
🟠 Senior
💝 Customer Support
🦅 H1B Visa Sponsor
👻 Ghost score 55%
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• Answer general customer inquiries and address concerns about products and services across multiple lines of business • Resolve coordination of benefits inquiries by analyzing patient activity, including enrollment, third-party liability, and claims attachments • Interpret and communicate accurate insurance coverage information • Thoroughly document all customer interactions • Educate customers and dental professionals on eligibility, benefits, claims payment, authorizations, and self-service tools • Assist members with access to care by locating a network dentist or assigning a primary care dentist • Direct inquiries to the appropriate departments or individuals when necessary • Research and resolve member and provider inquiries through phone, email, web portal, and chat • Resolve complex internal and external customer inquiries • Research and resolve claim payment inquiries and determine appropriate action • Take ownership of resolutions and set follow-up expectations • Handle resubmissions, stop payments, and voids appropriately • Meet or exceed individual, department, and client-specific goals • Follow client administrative and contractual policies and procedures • Suggest service delivery process improvements • Perform other duties as assigned
• 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 • Must reside in Arkansas, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Kentucky, Louisiana, Michigan, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Vermont, Virginia, West Virginia, Wisconsin, or Wyoming • Preferred: Experience in healthcare or related industry experience • Preferred: Medical/Dental terminology knowledge experience • Preferred: Medicare/Medicaid knowledge • Preferred: Claims/Billing and coding experience
• 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!!) • Paid training
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