0 suggestions are available, use up and down arrow to navigate them
What job do you want?

Group Services Rep II job in Orange at Western Dental Services, Inc.

Create Job Alert.

Get similar jobs sent to your email

List of Jobs

Apply to this job.
Think you're the perfect candidate?
Group Services Rep II at Western Dental Services, Inc.

Group Services Rep II

Western Dental Services, Inc. Orange, CA Full-Time

This position is responsible for performing all daily duties pertaining to new and existing groups and individual Plans.

  • Answering inbound telephone calls from brokers/agents, existing clients, potential clients. Providing backup for provider and member calls.
  • Process member additions, terminations or changes (Manually and Electronic Files)
  • Provide eligibility information to the Plan Department and Provider Services (this may include calling or email group to confirm member’s eligibility).
  • Run Monthly billing for all groups, once a month
  • Account reconciliation (Retro-credits, new dues and disbursements).
  • Mail monthly client invoices.
  • Process daily bank deposit.
  • Resolve account discrepancies by investigating documentation of previous payments and adjustments.
  • Prepare Schedule A’s (Form 5500) for groups.
  • Process check requests for plan refunds, capitation, commission or account discrepancies.
  • Create new group profiles.
  • Send Intent to Terminate letters to groups and members that are in jeopardy due to lack of payment and process accounts terminations.
  • Send letters to over the age dependents regarding their coverage.
  • Update Group’s monthly renewal information according to Rate Advisory Worksheet.
  • Generate ID cards (csv file is generated for third party printing company once per week).
  • EFT processing
  • Monthly review of account receivable and financial books
  • Review, track and administer major groups
  • Interact with other departments (or areas) to resolve patient, group, broker or provider inquiries.
  • Assist in training new staff in the Group Services Department.
  • Process payments and refunds for Web Plan
  • Filing and other clerical duties as assigned.
  • Produce monthly renewal reports for Individual and Web Plan members
  • Assist web plan members with renewing process.
  • High School diploma and min. two years Customer Service or insurance industry experience
  • Excellent oral and written communication skills
  • Proficient in Microsoft Word and Excel
  • General Math Skills

Recommended Skills

  • Billing
  • Communication
  • Consulting
  • Customer Service
  • Filing
  • Finance
Apply to this job.
Think you're the perfect candidate?

Help us improve CareerBuilder by providing feedback about this job:

Job ID: AC11-19410_7564

CareerBuilder TIP

For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.

By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.