Wfh Remote Customer Service/Data Entry Representative

Responsibilities

• Responds to customer inquiries (written, verbal and electronic) regarding benefits, participating doctors and eligibility.
• Analyze claim problems and take appropriate action to ensure that the proper claim payment is made. Provide necessary follow-up and initiate correspondence.
• Keep informed of benefit changes, new group enrollment and group terminations.
• Actively seek refunds (collection) when necessary.

Education, Skills, Personal Attributes, And Experience Required

• Two years of call center, and/or insurance industry experience preferred.
• Effective communication skills, both written and verbal are required. Constant communication with the public and internal departments. Speaking voice must be clear and articulate.
• Must have comprehensive understanding of various screens and transactions utilized in claims processing, eligibility functions, benefit programs and provider information; including thorough understanding of dental procedures and benefit determination.
• High School diploma or equivalent required.
• Proven subscription to the company's core values of integrity, trust and respect, innovation, stewardship, excellence and celebration.
• Ability to operate a PC and calculator to compute claim benefits. Ability to data-enter information via PC keyboard.
• Three years dental industry experience required.

Work Conditions

General office working conditions which may require sitting for extended periods of time.

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations my be made to enable individuals with disabilities to perform the essential functions.

Specific vision abilities require the ability to focus distant and near objects clearly. While performing the duties of this job, the employee is regularly required to sit, talk and hear. The employee is frequently required to use hands and arms to handle, feel and reach as well as operate a personal computer.