Dental Customer Service Representative

2 days ago


Worcester, Massachusetts, United States The Nagler Group Full time

Job Summary:

The Nagler Group is seeking a highly skilled and detail-oriented Dental Customer Service Representative to join our team. As a key member of our customer service department, you will be responsible for providing exceptional service to our clients and customers, ensuring timely and professional communication, and maintaining accurate records.

Key Responsibilities:

  • Respond to Inquiries: Respond to inbound calls, faxes, and emails from doctors, doctor's office staff, and plan sponsor representatives in a timely and professional manner.
  • Process Claims: Process dental claims on our system for all clients, ensuring accuracy and efficiency.
  • Document Communications: Document all communications with doctors, doctor's office staff, and plan sponsor/employer representatives, as well as members and member representatives.
  • Resolve Inquiries: Respond to claim inquiries from subscribers, doctors, and plan sponsor/employer representatives in a timely and professional manner.
  • Maintain Knowledge: Maintain knowledge of dental plan designs, exclusions, limitations, and exceptions for each client.
  • Adhere to Guidelines: Adhere to all process and procedural guidelines, ensuring compliance and quality expectations.

Requirements:

  • Excellent Communication Skills: Possess excellent communication skills, both written and verbal.
  • Attention to Detail: Demonstrate attention to detail and accuracy in processing claims and documenting communications.
  • Knowledge of Dental Plans: Have a strong understanding of dental plan designs, exclusions, limitations, and exceptions.
  • Ability to Work in a Team Environment: Ability to work effectively in a team environment, providing exceptional service to our clients and customers.

What We Offer:

  • Competitive Salary: A competitive salary and benefits package.
  • Opportunities for Growth: Opportunities for growth and professional development within our company.


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