Highlights
JOB SUMMARY: Serve as a resource and provide support by answering questions and allocating workflow to team members on service related issues and problems. Provide leadership to the team and coordinate daily operations and workflow according to department deliverables.
Numbers & Facts
| Location | Austin, Texas |
| Industry | Healthcare Services |
| Company Size | 1,000 to 1,499 employees |
| Year Founded | 2001 |
| Website | http://www.dentaquest.com |
Description
JOB SUMMARY: Serve as a resource and provide support by answering questions and allocating workflow to team members on service related issues and problems. In addition, the position is responsible for the coordination of incoming claims and/or authorizations to ensure turnaround times are met.
JOB DUTIES AND RESPONSILBLITIES:
- Assist in the managing the flow of inbound inquires and the department work queues.
- Manage the workflow queues for claims and authorizations which suspend during processing.
- Facilitate resolutions to internal and external claims payment issues.
- Assist in the distribution of work to team members.
- Provide leadership to the team and coordinate daily operations and workflow according to department deliverables.
- Assist team members in responding to and resolving all questions, complaints and requests from customers.
- Research, analyze, resolve, and respond to any internal and external inquires.
- Serve as a liaison between dental offices and DentaQuest by answering remittance, payment, benefit, contract and claims questions.
- Resolves problems quickly by regularly interfacing with customer as needed
- Provide initial and ongoing training to team members as needed.
- Assist in providing mentoring, coaching and feedback to team members.
- Assist with monitoring of phone coverage to ensure phone standards are being met.
- Run and analyze department reports as needed.
- Create and implement department processes as needed.
- Maintain department service levels by performing team member functions as needed.
- Other duties as assigned.
JOB SUMMARY: Serve as a resource and provide support by answering questions and allocating workflow to team members on service related issues and problems. In addition, the position is responsible for the coordination of incoming claims and/or authorizations to ensure turnaround times are met.
JOB DUTIES AND RESPONSILBLITIES:
- Assist in the managing the flow of inbound inquires and the department work queues.
- Manage the workflow queues for claims and authorizations which suspend during processing.
- Facilitate resolutions to internal and external claims payment issues.
- Assist in the distribution of work to team members.
- Provide leadership to the team and coordinate daily operations and workflow according to department deliverables.
- Assist team members in responding to and resolving all questions, complaints and requests from customers.
- Research, analyze, resolve, and respond to any internal and external inquires.
- Serve as a liaison between dental offices and DentaQuest by answering remittance, payment, benefit, contract and claims questions.
- Resolves problems quickly by regularly interfacing with customer as needed
- Provide initial and ongoing training to team members as needed.
- Assist in providing mentoring, coaching and feedback to team members.
- Assist with monitoring of phone coverage to ensure phone standards are being met.
- Run and analyze department reports as needed.
- Create and implement department processes as needed.
- Maintain department service levels by performing team member functions as needed.
- Other duties as assigned.
- Required Experience
- Associates degree and/or two years experience in a business environment.
- Previous leadership experience preferred.
- Knowledge of general computer software (Excel and MS Word).
- Excellent interpersonal, written and verbal communication skills.
- Proven ability to work well individually and with a team.
- Ability to prioritize and organize multiple tasks.
- Ability to remain organized with multiple interruptions.
- Attention to detail, accuracy and organization skills is essential.
- Demonstrates self-motivation by taking initiative to learn more and take on more challenges.
- Cooperative, professional and effective interaction skills with co-workers, company staff and visitors.
Skills & Requirements
- Required Experience
- Associates degree and/or two years experience in a business environment.
- Previous leadership experience preferred.
- Knowledge of general computer software (Excel and MS Word).
- Excellent interpersonal, written and verbal communication skills.
- Proven ability to work well individually and with a team.
- Ability to prioritize and organize multiple tasks.
- Ability to remain organized with multiple interruptions.
- Attention to detail, accuracy and organization skills is essential.
- Demonstrates self-motivation by taking initiative to learn more and take on more challenges.
- Cooperative, professional and effective interaction skills with co-workers, company staff and visitors.
About Company
At DentaQuest, our mission is to improve oral health for all Americans. To make it more affordable and easier to access – with a greater focus on prevention. We call what we do Preventistry. It’s our “all-in” strategy to revolutionize oral health in ways that make us all healthier.
DentaQuest is a different kind of healthcare company. We bring a uniquely holistic perspective – as we manage dental and vision benefits for more than 30 million Americans – and provide care directly through our growing network of clinics in communities around the country. As a result, we understand how to align incentives to drive better outcomes and lower costs.
At DentaQuest, business performance and social impact go hand-in-hand. We have provided more than $230 million in funding for research and grant programs to advance oral health in communities across the country. Today, we are continuing these efforts with a greater focus on innovation and impact investing – working closely with oral health leaders and the broader health community to achieve a shared vision for change. Our mission is bold – our commitment is strong. By advancing oral health for everyone, we will achieve better health for all.
Welcome to Preventistry
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