Insurance Team Lead

2 weeks ago


Wauwatosa, United States Dental Associates Full time

SUMMARY:

The Insurance Team Lead provides daily support to the Dental Insurance Department to serve internal and external customers.


ESSENTIAL DUTIES & RESPONSIBILITIES:

  • Responsible for the timely and accurate adjudication of dental insurance claims for providers inside and outside of Dental Associates.
  • Configure benefit data for entry into the insurance system software, including group master files and fee schedules.
  • Document workflow changes and assists Associate Manager with training and roll out.
  • Serve as liaison between IT, Sales and Member Services and the clients for the initial set up, ongoing processing, and troubleshooting of HIPAA 834 electronic enrollments, ACH transfers, and the Skygen portal.
  • Create and maintain documentation, including HIPAA 834 Companion Guides.
  • Collaborate with IT on technical challenges and process improvements to improve efficiency and customer satisfaction. Provide technical training and support for the dental insurance team.
  • Responsible for department and client reporting.
  • Fill in for staff during high volume periods and while staff are away, which includes answering clinic and member phone calls, processing eligibility records, and reconciling payments.


QUALIFICATIONS:

  • Detail orientation, with ability to problem solve and handle multiple projects.
  • Ability to investigate complex technical issues and to work independently and within a team.
  • Proficient at root cause analysis, acting on findings to prevent future challenges.
  • Excellent written and verbal communication skills for effective interactions with internal and external customers.
  • Ability to handle confidential information in a sensitive manner.
  • Comprehensive understanding of Microsoft Office products.


EDUCATION/LICENSURE:

  • Bachelor’s degree in business, healthcare management or equivalent combination of education, training, and experience.
  • Wisconsin Insurance License within 90 days of hire


EXPERIENCE:

  • Minimum of two years of customer service, dental or insurance experience.
  • Previous supervisory experience is preferred.

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