Maintain network participation by providing support to dentists and dental office managers to improve their understanding of all available benefit programs
Educate providers by instructing and advising of the comprehensive policies and procedures involving all phases of the corporation’s benefits and contracts through office visits and communication over the phone and email
Promote dentist adoption of technology solutions by promoting Web applications and increasing the volume of electronic claims
Recruit non-participating providers within cost and access goals
Negotiate special deals to maintain compliance and increase access in networks
Seek continuous improvements by recommending changes in internal methods and procedures to Quality Assurance process
Vendor relationship management for provider-facing technologies
Facilitate Oral Health presentations to various educational institutions and organizations
Assist provider offices in filing their claims electronically
Serve as a liaison with dental offices by answering remittance, payment, benefit, claims, and eligibility questions when necessary
Follow up with all termination letters submitted
Represent clients and company at health fairs, audits, dental summits, etc. throughout your designated market
Maintain and submit all required reports
Assist in resolving elevated complaints and issues for clients, members and providers
Requirements
5 years’ experience in healthcare practice or managed care environment
3 years’ supervisory/management experience
Bachelor’s degree in Business, Healthcare Administration (or related field) or equivalent, relevant experience
Strong presentation skills
Excellent verbal and written communication skills
Ability to work independently and as part of a team
Knowledge of Microsoft Office
Proven problem-solving skills
Problem solving and training experience
Ability to make sound judgment conclusions based on data available with minimal supervision
Up to 25% travel required (primarily local)
Benefits
Health insurance
401(k) employer match
Generous vacation and sick time
Paid family, parental, and adoption leave
Medical coverage
Company paid life and AD&D insurance
Disability programs
Partially paid sabbatical program
Flexible, inclusive, and collaborative work environment
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