Contract Analyst II conducting procurement actions for professional services at Florida Department of Transportation. Engaging with stakeholders and leading public meetings in Miami office.
About the role
- Special Authorization Analyst at MAC Dental handling requests for dental services in response to clients and providers. Full-time position requiring bilingual skills and dental knowledge.
Responsibilities
- Develop a high level of knowledge in the programs we administer.
- Respond to requests from clients and providers in both official languages.
- Receive, pend, and process requests for dental services that require special authorization consideration, and prepare packages that require review from dental consultant.
- Administer processes for special authorization decisions through the interactive use of telecommunications and applied on-line technology.
- Call and/or draft requests for additional information from dentist and/or dental specialists for more information/diagnostics when necessary, or requested by the dental consultant.
- Update requests according to decisions rendered to allow for real time adjudication when the dental treatment authorized is rendered.
- Create and send the appropriate decision letter to the client and/or provider to notify them of the outcome of their request.
- Utilize dental background, knowledge, and experience to assess requests.
- Liaison with customers and other health care professionals to ensure treatment requests are appropriately administered.
- Provide a positive and efficient customer service experience for providers and clients.
Requirements
- Successful completion of a recognized post-secondary Dental Assisting or Dental Hygiene program.
- Minimum of 24 months experience in a dental environment.
- Experience working in an office and/or customer service experience would be considered an asset.
- Experience with quick and accurate data entry and knowledge of claims processing, eligibility and claims systems would be considered an asset.
- Experience working with the Microsoft Office Suite.
- Must be fluently Bilingual (English and French) both written and verbal.
Benefits
- health insurance
- retirement plans
- paid time off
- flexible work arrangements
- professional development
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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