Provider Relations Specialist

4 weeks ago


Reston, Virginia, United States The Nagler Group Full time

Job Summary:

We are seeking a skilled Provider Relations Specialist to deliver high-quality client service to doctors, doctor's office staff, members, community partners, and plan sponsor representatives.

Key Responsibilities:

  • Respond to inbound telephone calls, faxes, and emails from doctors, doctor's office staff, and plan sponsor representatives in a timely and professional manner;
  • Process dental claims on the system for all clients;
  • Process claim corrections from daily EDI reports;
  • Document communications with doctors and doctor's office staff, and plan sponsor/employer representatives;
  • Respond to claim inquiries from subscribers, doctors, and plan sponsor/employer representatives in a timely and professional manner;

Requirements:

  • Dental experience, X-ray knowledge, and/or dental coding knowledge;


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