Provider Relations Representative
3 weeks ago
Job Title: Provider Relations Representative
Job Summary:
We are seeking a highly skilled Provider Relations Representative to join our team at The Nagler Group. As a key member of our team, you will be responsible for delivering exceptional client service to doctors, doctor's office staff, members, 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 our 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;
- Maintain knowledge of dental plan designs, exclusions, limitations, and exceptions for each client;
- Adhere to all process and procedural guidelines;
- Any other duties as assigned.
Requirements:
- Dental experience, X-ray knowledge, and/or dental coding knowledge;
- Excellent communication and customer service skills;
- Ability to work in a fast-paced environment and meet productivity expectations;
- Strong analytical and problem-solving skills;
- Proficiency in dental plan designs, exclusions, limitations, and exceptions.
What We Offer:
Competitive salary and benefits package; opportunities for professional growth and development; and a dynamic work environment.
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