Title: Provider Relation Represenitive
Pay: 50K
Location: Worcester MA
Hybrid
Must Have:
Dental experience, Xray knowledge and/or dental coding knowledge
Overall Responsibility: To deliver high quality client service to doctors or doctor’s office staff, members, community partners and plan sponsor representatives in a professional, respective and helpful manner. Process claims in a timely, accurate manner.
Key responsibilities and accountabilities:
- Respond to inbound telephone calls, faxes and emails from doctors or doctor’s office staff, and plan sponsor representatives in a timely and professional manner;
- Respond to inbound telephone calls, faxes and emails from members or member representatives in a timely and professional manner;
- Process dental claims on 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;
- Document communications with members and member representatives;
- Respond to claim inquiries from subscribers, doctors and plan sponsor/employer representatives in a timely and professional manner;
