JOB SUMMARY: Serve as a resource and provide support by answering questions and allocating workflow to team members on service related issues and problems. In addition, the position is responsible for the coordination of incoming claims and/or authorizations to ensure turnaround times are met. JOB DUTIES AND RESPONSILBLITIES:
- Assist in the managing the flow of inbound inquires and the department work queues.
- Manage the workflow queues for claims and authorizations which suspend during processing.
- Facilitate resolutions to internal and external claims payment issues.
- Assist in the distribution of work to team members.
- Provide leadership to the team and coordinate daily operations and workflow according to department deliverables.
- Assist team members in responding to and resolving all questions, complaints and requests from customers.
- Research, analyze, resolve, and respond to any internal and external inquires.
- Serve as a liaison between dental offices and DentaQuest by answering remittance, payment, benefit, contract and claims questions.
- Resolves problems quickly by regularly interfacing with customer as needed
- Provide initial and ongoing training to team members as needed.
- Assist in providing mentoring, coaching and feedback to team members.
- Assist with monitoring of phone coverage to ensure phone standards are being met.
- Run and analyze department reports as needed.
- Create and implement department processes as needed.
- Maintain department service levels by performing team member functions as needed.
- Other duties as assigned.
Skills & Requirements Required Experience
- Associates degree and/or two years experience in a business environment.
- Previous leadership experience preferred.
- Knowledge of general computer software (Excel and MS Word).
- Excellent interpersonal, written and verbal communication skills.
- Proven ability to work well individually and with a team.
- Ability to prioritize and organize multiple tasks.
- Ability to remain organized with multiple interruptions.
- Attention to detail, accuracy and organization skills is essential.
- Demonstrates self-motivation by taking initiative to learn more and take on more challenges.
- Cooperative, professional and effective interaction skills with co-workers, company staff and visitors.
CareersAs one of the nation's leading oral health companies, we direct all our energy and resources to improving oral health in the communities we serve. We depend on our people for our ability to provide the highest-quality benefit programs and superior customer service. If you're looking for a challenging work environment where you will be asked to continually develop your skills, you've found the right place.We are a growing, financially sound company with many advantages to offer to our employees. In addition to competitive salaries and a great benefits package, we also offer a stimulating, productive work environment. Work-life balance is a reality at DentaQuest, as is our commitment to our employees' career advancement.DentaQuest is an equal opportunity employer. We believe that your work history is the best measure of the value you will bring to the company. We do not base any employment decision on a person's race, religion, color, national origin, gender, sexual preference, marital status, age, veteran status, or disability unrelated to the ability to do the job.Thank you for visiting. We are delighted that you are considering joining our team of dedicated oral health professionals.