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
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