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Provider Administration Specialist

Delta Dental

Provider Administration Specialist

Alpharetta, GA
Full Time
Paid
  • Responsibilities

    Provider Administration Specialist Delta Dental 529 reviews - Alpharetta, GA Full-time, Contract This position is responsible for maintaining the integrity of provider information on enterprise systems including overseeing the distribution of updated information requested by dental offices. Other responsibilities include assisting in nurturing positive relationships between the health plan, providers and practice managers. How you will make an impact: * Maintains the integrity of an electronic database and assists dental providers offices with business name changes, tax ID changes, termination of dental contracts, change of ownership, business splits, sale of practices, adding additional associates, license changes, dental specialty changes, updated contract information, and provider directory assistance. * Plan, prioritize, organize and complete work to meet established objectives. * Work individually or with a team to solve complex problems related to provider servicing. * Sometimes acts as a technical resource to others in own function. * Works various workflow queues for claims where address tax identification number conflicts with the provider file data.

    • Handles escalated calls from client groups as well as outgoing calls to dental offices. * Resolves 1099 tax discrepancies with provider offices; verifying with external databases. * Runs queries; generates monthly reports and credentialing document verification requests. * Screens provider enrollment packets for missing information and requests missing information from the provider. * Performs other miscellaneous duties as assigned. What we're looking for: * Organizational/time management skills and multi-tasking abilities. * Strong written, verbal, interpersonal and phone skills * Detail oriented with mathematical, reading, and comprehension skills. * Knowledge of Current Dental Terminology (CDT) codes and dental nomenclature. * Ability to type 40 words per minute with no more than two errors. * Knowledge of the companys claims processing systems, claims flows and adjustment notices.
    • Must be flexible to work any shift and willing to work overtime as needed based on business needs. * A high school diploma or GED but candidates with proven experience will not be excluded from consideration. * A minimum of 2 years related experience (Managed Care or Medical/Dental Insurance experience). Benefits and perks: * 12 days starting vacation plus 12 holidays and your birthday off! * 100% paid for medical option, dental and vision. * Onsite gym and or gym discount and fitness incentive. * Flexible work arrangements. * Culture of learning: Substantial tuition reimbursement to improve your skills. * Career growth: We love promoting from within. * Strong commitment to work/life balance. * Technology allowance. * Social responsibility and volunteer opportunities. If you think this sounds like you, lets chat. We would love to tell you more! ABOUT Delta Dental As the first company to specialize in dental insurance, we are passionate about oral health and its importance to future generations. Our core purpose is the advancement of oral health care to our customers, partners and consumers through dental insurance programs and philanthropic efforts. We are part of the Delta Dental Plans Association, a network of companies that provides dental coverage to 74 million people in the U.S. Delta Dental of California, Delta Dental of New York, Inc., Delta Dental of Pennsylvania and Delta Dental Insurance Company, together with our affiliate companies, form one of the nations largest dental benefits delivery systems, covering 33 million enrollees. All of our companies are members, or affiliates of members, of the Delta Dental Plans Association, a network of 39 Delta Dental companies throughout the country. Delta Dental provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Delta Dental complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. 3 hours ago - save job - original job Apply On Company Site Other jobs you may like Specialist, Facilities-SE (31 Administration) Kubota Tractor Corporation
    • Suwanee, GA 30+ days ago Certification Maintenance Administrative Spec... National Commission on Certification of Physician Assistants - Johns Creek, GA 28 days ago Easily apply * Provider Administration Specialist jobs in Alpharetta, GA * Jobs at Delta Dental in Alpharetta, GA * Provider Administration Specialist salaries in Alpharetta, GA Delta Dental Delta Dental 529 reviews Since 1954, Delta Dental has been working to improve oral health and hygiene by emphasizing preventative care, because we believe that... Let employers find you Thousands of employers search for candidates on Indeed Upload Your Resume
  • Industry
    Financial Services