Hybrid Provider Operations Representative

Posted 2 months ago

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About the role

  • Provider Operations Representative responsible for taking provider applications for DentaQuest. Accurate entry of provider data and verifying credentialing criteria for practitioners.

Responsibilities

  • Taking a new provider application from receipt to inclusion on directory along with ongoing updates
  • Accurate and timely entry of provider data including provider applications and contract information, status changes, and payee changes
  • Verifying all the credentialing criteria for practitioners that have applied to the network
  • Initial and re-credentialing and follow up with practitioners as needed to obtain information for the credentialing process

Requirements

  • High School Diploma or equivalent
  • 1 year job related experience
  • Good interpersonal skills
  • Ability to work independently
  • Excellent oral and written communication skills
  • Efficient PC skills (Word, Excel, Outlook, Work Flow Software, Time Tracking Systems)
  • Ability to learn new software programs quickly
  • Ability to prioritize and organize multiple tasks
  • Ability to remain organized with multiple interruptions
  • Good customer service and problem resolution skills
  • Ability to navigate websites needed for credentialing purposes
  • Ability to adapt to a constantly changing environment
  • Ability to work in excess of 40 hours in a week
  • Required to attend additional training as requested/deemed necessary

Benefits

  • generous vacation and sick time
  • market-leading paid family, parental and adoption leave
  • medical coverage
  • company paid life and AD&D insurance
  • disability programs
  • partially paid sabbatical program
  • 401(k) employer match
  • stock purchase options
  • employer-funded retirement account
  • inclusive and collaborative work environment

Job title

Provider Operations Representative

Job type

Experience level

Junior

Salary

$39,300 - $53,100 per year

Degree requirement

High School Diploma

Location requirements

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