Professional Relations Assistant Jobs

Delta Dental of Arizona, the state’s #1 dental insurance company, is looking for a conscientious, patient, team-oriented individual with a sharp eye for detail to work at our corporate headquarters in Glendale.

Overview

Assists the Professional Relations department with dentist contract compliance issues, credentialing, and re-credentialing processes. Ensures regulatory processes are performed in accordance with state, federal and, DDPA standards. Assist office to ensuring claims are processed in compliance with the group contract, DDAZ’s processing policies, and Arizona state regulatory requirements.

Essential Duties

• Creates and maintains records of all providers information in electronic database files including credentialing documentation, network status, contracts, license, and certification expirations, filed fees and contact updates for all networks.
• Identify and make updates and corrections to demographics as they are identified or as received from the provider in a timely manner.
• Servicing email requests from providers and maintaining categorized responsibilities of incoming emails.
• Tracks license and certification expirations for all dentists to ensure timely renewals, monitors any AZ Board of Dental Examiner actions against any dentists.
• Responsible for maintaining the contracts and credentialing processes for all network dentists per NCQA, Medicare Advantage and DDPA’s standards.
• Coordinate dentist mass mailing projects as necessary.
• Field calls from dental offices or other Delta plans regarding contracts, fee issues, and contract/network status.

• Strong attention to detail and organizational skills
• High school diploma or equivalent
• Strong data entry skills
• Superior customer service and communication skills
• Knowledge of CDT codes and processing policies
• Consistently meets quality and quantity performance standards.
• 1-3 years of related experience (clinical dental office experience and/or dental insurance/claims experience)
• Proficiency with Microsoft Office suite and Adobe

Starting pay for this position is $16.77 - $18/hour.

About Us

Delta Dental of Arizona’s vision is simple; healthier lives for everyone. That’s why we’ve made it our mission to create a path to better health and wellness. We’re a dental and vision healthcare provider with a foundation that has awarded millions in grants to organizations who care for our most vulnerable residents by offering the dignity and hope that a healthy smile brings.

Our employees enjoy competitive compensation and comprehensive benefits, including medical, dental, vision, 401(k), student loan assistance, volunteer PTO, and a culture that embraces collaboration, service, integrity, and inclusion. At less than 135 employees, we cultivate a work community where all employees are known by name, and everyone’s contributions are visible, noticed, and celebrated. We provide flexible schedules and hybrid work options when possible. Our employees have a lot to smile about!