Complaints and Grievances Administative Coordinator DentaQuest 146 reviews - Milwaukee, WI 53209 The Complaints & Grievances Administrative Coordinator is responsible for various critical components necessary to support day-to-day operational functions while ensuring the proper workflow within the Complaints and Grievances department. PRIMARY JOB RESPONSIBILITIES: Administrative/operational responsibilities * Facilitate distribution of incoming faxes to appropriate parties within the C&G Department. * Maintain inventory of departmental supplies and notify management when additional supplies are necessary. * Manage study model inventory and destroy models after denial hold period has expired for MO markets. * Responsible for printing/scanning/faxing of documents for TennCare. * Responsible for picking up document handling sheets from specialists and Special Requests Forms and delivering to Intake Department throughout the day. * Daily pick-up from Specialists and drop-off to Intake of letters that need to be mailed . * On-site support for representatives working from home to complete critical in-office activities such as scanning, same day print/mail, Federal Express, etc.

• Run the unassigned report and assign cases as directed by C&G management. * Attach scanned documentation to the C&G case. * Provide recommendations for process improvement within the department and/or company. * Adhere to DentaQuest business processes, policies and expectations. Support C & G Specialists * Assist C&G Specialists in daily scanning of case documentation for Fair Hearing, MAXIMUS and C&G case files. * Assist C&G Specialists with compiling case files for Dental Director review. * Compile case files for Fair Hearings. * Assist C&G Specialists with any other tasks necessary in order to complete case timely (e.g., assist with acknowledgements, e-mails, creating e-mail cases, etc.). * Assist C&G Specialists with compiling cases for audit requests, including adding necessary attachments to a case for the purpose of an internal/external audit. * Other duties as assigned Required Skills Required Qualifications: * High School Diploma or equivalent. * Knowledge of general computer software including Microsoft Excel, Word and Outlook. * Strong verbal, written, interpersonal, organizational and communication skills. * Ability to prioritize and organize multiple tasks with tight deadlines. * Ability to remain organized with multiple interruptions. Preferred Qualifications: * Bachelors degree in Business Administration/Management or a related field, or equivalent experience in healthcare management. * Knowledge of dental terminology. Required Experience * 1 year experience in clerical setting. PHYSICAL DEMANDS: * Ability to use basic office equipment and communicate via phone, computer technology, and via written and verbal channels. * Ability to communicate in an active office environment, including moderate voice levels and interruptions, which may challenge hearing and concentration. * Ability to sit for extended periods of time. The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform this position. ** In accordance with DentaQuests Compliance Plan, employee must conduct DQ business in accordance with applicable laws, regulations, professional standards and ethical standards and report potential compliance or ethical issues to manager or DQs Compliance Officer. ** DentaQuests Affirmative Action Program affirms our commitment to make reasonable accommodation to the known physical or mental limitation of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please see Human Resources for additional information regarding this Program. 14 hours ago - save job - original job Apply On Company Site * Complaint Grievance Administative Coordinator jobs in Milwaukee, WI * Jobs at DentaQuest in Milwaukee, WI
• Complaint Grievance Administative Coordinator salaries in Milwaukee, WI DentaQuest DentaQuest 146 reviews Quality dental benefits, wellness programs & a partner in the community. Our mission is to improve the oral health of all. Let employers find you Thousands of employers search for candidates on Indeed Upload Your Resume