Customer Service

This is a fully remote position, open to applicants in Florida, +17 more states.

📋 Description

• Addressing inquiries related to coordination of benefits by reviewing patient activities, including enrollment, third-party liabilities, and claims attachments.

• Possessing an in-depth understanding of insurance coverage to accurately interpret and communicate vital information.

• Diligently documenting all interactions with customers in a thorough manner.

• Providing education to customers and dental professionals regarding eligibility, benefits, claims payments, and authorizations.

• Offering guidance on the use and advantages of self-service tools.

• Assisting members in accessing care by identifying network dentists or assigning them to a primary care dentist.

• Redirecting inquiries to appropriate departments or individuals when resolution exceeds the role's jurisdiction.

• Conducting research and consistently delivering accurate information to address all member and provider inquiries through various communication channels, including phone, email, web portal, and chat.

• Responding to and resolving complex customer inquiries from both internal and external sources.

• Investigating claim payment inquiries by analyzing patient activity and determining the necessary actions to take.

• Taking responsibility for the resolution process and establishing follow-up expectations.

• Ensuring proper management of resubmissions, stop payments, and voids.

• Achieving or surpassing individual, departmental, and client-specific objectives.

• Understanding and complying with all client administrative and contractual policies and procedures.

• Proposing improvements to service delivery processes that contribute to the organization's success.

⛳️ Requirements

• A private, distraction-free workspace that is not shared or in a common area of the home.

• A hard-wired ethernet internet connection with minimum speeds of 50 Mbps download and 10 Mbps upload (5G, hotspots, and satellite internet are not supported).

• An active wireless phone service.

• Must remain on camera during working hours.

🏝️ Benefits

• Medical, Dental, and Vision insurance.

• 401(k) Retirement Savings Plan.

• Paid Time Off.

• Paid T-Mobile cell service.

• Employee referral program.

• Employee PerkSpot, offering discounts on retail, hotels, food, restaurants, car rentals, and much more!