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Company | Talentify.io |
Address | United States |
Employment type | FULL_TIME |
Salary | |
Category | Human Resources Services |
Expires | 2023-05-17 |
Posted at | 1 year ago |
Talentify helps candidates around the world to discover and stay focused on the jobs they want until they can complete a full application in the hiring company career page/ATS.
- Educating customers and dental professionals on eligibility, benefits, claims payment, and authorizations.
- Having a comprehensive understanding of insurance coverage and being able to interpret and communicate accurate information.
- Researching and consistently providing accurate information to resolve all member and provider inquiries through verbal and written communications through all channels including phone, email, web portal, and chat interactions.
- Understanding and adhering to all client administrative and contractual policies and procedures.
- Responding to customer inquiries in a courteous and professional manner.
- Taking ownership of the resolution and setting expectation for follow up.
- Educating on the usage and benefits of self-service tools.
- Resolving coordination of benefits inquires by analyzing patient activity (including enrollment, third party liability, claims attachments).
- Assisting members on gaining access to care by locating a network dentist or assignment to a primary care dentist.
- Resolving claim payment inquiries by researching and analyzing patient activity and determining appropriate action to be taken.
- Thoroughly and completely documenting all customer interactions.
- Ensuring resubmissions, stop payments, and voids are appropriately handled.
- Suggesting ways to improve the service delivery processes contributing to the success of the organization.
- Responding to and resolving internal and external complex customer inquiries.
- Directing inquires to necessary departments or individuals when the resolution of the inquiry is beyond the span of control for this role.
- Other duties as assigned.
- Meeting or exceeding individual, department, and client specific goals.
- Critical thinking and problem solving skills
- Experience in healthcare or related industry experience preferred
- High School Diploma or Equivalent
- Ability to learn quickly and adapt to a fast pace production environment
- Ability to multi-task using multiple applications simultaneously
- Ability to tolerate repetitive work without compromising accuracy and service levels
- Ability to set-up computer equipment and troubleshoot issues with minimal assistance
- Cooperative, professional and effective interaction skills
- Strong organizational skills and attention to detail
- Ability to operate a computer and knowledge of Microsoft Office applications
- 2 years experience in a high volume customer service environment
- Attend additional training as requested/deemed necessary
- Ability to work independently and with a team
- Professional verbal and written communication skills
- Medicare/Medicaid knowledge
- Medical/Dental terminology knowledge experience
- Claims/Billing and coding experience
- Medical, Dental, and Vision insurance
- Employee PerkSpot (discounts on retail, hotel, food, restaurants, car rental and much more!!)
- 401(k) Retirement Savings Plan
- Paid Time Off
- Paid T-Mobile cell service
- $500.00 Employee referral program
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