Description:
• Manage the receipt, saving, tracking and distribution of requests received electronically in the team for referrals, prior authorizations and claims.
• Generating notification letters, preparing for submission to vendor, saving letter files and uploading files to external vendor.
• Notification letters include referrals, prior authorizations, returned claims, status requests and requests for recovery.
• Support the data entry of referrals or prior authorizations.
• Monitoring the status of pending authorization requests for follow up to finalize with the authorization team.
• Run daily reports for Inquiry Tracking and distribution to appropriate team members.
• Review weekly refund checks and distribute to appropriate team for research/resolution.
• Troubleshoot, research and resolve customer inquiries, questions and concerns while focusing on customer satisfaction.
• Maintaining standardized productivity, accuracy and quality performance standards for assigned tasks.
• Provide administrative/clerical support to the Claims department.
• Provide assistance to both internal and external customers.
• Other duties as assigned.
Requirements:
• Minimum 2 years Administrative/Clerical background, preferably in a Healthcare environment.
• Dental or vision industry experience preferred.
• Associate degree in a related field preferred; High School diploma required.
• Previous Dental coding experience preferred; Medical coding experience will be considered.
• Ability to communicate well with providers and office staff both verbally and in writing.
• Ability to multi-task, work in a fast-paced environment and detail oriented.
• Ability to work overtime as needed.
• Proficient in Microsoft Office Suite, specifically Word and Excel and other window-based applications.
• Prior data entry experience preferred.
Benefits:
• Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
• Life and disability insurance.
• A great 401(k) with company match.
• Tuition assistance, paid parental leave and backup family care.
• Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
• Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
• Employee Resource Groups that advocate for inclusion and diversity in all that we do.
• Social responsibility in all aspects of our work.
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