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.