Dental Assistant Telephone Inquiry Specialist

Provides professional telephone support to dental program beneficiaries, providers, and representatives by researching and resolving complex inquiries, processing documentation, tracking correspondence, and providing accurate information about program policies, appointments, claims, and treatment authorizations. Respond to provider inquiries regarding program policies and procedures, claims and treatment authorization processing, explanation of benefits statements, payments, patient history, and enrollment status.

Telephone Inquiry Specialist
Job Summary

Provides professional telephone support to dental program beneficiaries, providers, and representatives by researching and resolving complex inquiries, processing documentation, tracking correspondence, and providing accurate information about program policies, appointments, claims, and treatment authorizations.

Responsibilities

• Research, resolve, and respond to complex telephone inquiries that cannot be answered immediately.
• Monitor cycle time reports and process internal documents, including beneficiary information forms, notices of action, claims, treatment authorization requests, and related documents.
• Respond to beneficiary and representative inquiries regarding program policies, regional screening appointments, treatment authorization notifications, and complaints.
• Refer callers to appropriate dental providers, agencies, or other resources and reschedule regional screening appointments as needed.
• Track beneficiary inquiries in the correspondence tracking system.
• Respond to provider inquiries regarding program policies and procedures, claims and treatment authorization processing, explanation of benefits statements, payments, patient history, and enrollment status.
• Track provider inquiries in the correspondence tracking system.
• Complete additional projects and duties as assigned.

Requirements

• Dental assisting certificate from an accredited dental assisting school or at least two years of dental assisting experience in a dental office.
• Successful completion of required dental auditing and X-ray reading assessments.
• At least one year of communication experience.
• Knowledge of dental billing procedures, claims adjudication, applicable regulations, dental codes, procedures, and practices preferred.
• Knowledge of dental anatomy, physiology, pathology, and dental office terminology.
• Ability to maintain confidentiality and manage detailed work.
• Ability to manage multiple concurrent tasks and frequent interruptions.

Skill

• Strong verbal and written communication.
• Problem-solving and reasoning.
• Basic mathematics and computer proficiency.
• Customer service and contact management.
• Stress management.

Summary Qualification

• Dental assisting education or relevant dental office experience.
• Experience handling telephone inquiries and customer concerns.
• Ability to interpret dental information and explain policies and procedures clearly.
• Strong organizational skills with attention to detail and accuracy.
• Ability to manage confidential information, interruptions, and multiple priorities.

 

Wollborg Michelson Recruiting is an Equal Opportunity Employer and prohibits discrimination of any kind. We ensure job offers are made based of one s employment experience, skills, and qualifications, regardless of race, gender, ethnic origin, or any other classification protected by law. All applicants must furnish proper identification to prove their legal right to work in the US upon a job offer. We participate in E-Verify to confirm one s right to work in the US. Wollborg Michelson Recruiting does not provide sponsorship for an employment-based visa status.