Offer summary

Qualifications:

Minimum 2 years Administrative/Clerical background, preferably in a Healthcare environment, Dental or vision industry experience preferred, Associate degree in a related field preferred; High School diploma required, Proficient in Microsoft Office Suite, specifically Word and Excel and other window-based applications.

Key responsabilities:

Manage the receipt, tracking, and distribution of requests for referrals, prior authorizations, and claims digitally.

Support data entry of referrals or prior authorizations and monitor pending authorization requests.

Generate notification letters, prepare submissions to vendors, review refund checks, and resolve customer inquiries effectively while maintaining productivity standards.

Provide administrative support, handle internal and external customer assistance, and perform other assigned duties.

Job description

Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.You will

Manage the receipt, saving, tracking and distribution of requests received electronically in the team for referrals, prior authorizations and claims.
Generating notification letters, preparing for submission to vendor, saving letter files and uploading files to external vendor. Notification letters include referrals, prior authorizations, returned claims, status requests and requests for

recovery.

Support the data entry of referrals or prior authorizations.
Monitoring the status of pending authorization requests for follow up to finalize with the authorization team
Run daily reports for Inquiry Tracking and distribution to appropriate team members
Review weekly refund checks and distribute to appropriate team for research/resolution
Troubleshoot, research and resolve customer inquiries, questions and concerns while focusing on customer satisfaction
Maintaining standardized productivity, accuracy and quality performance standards for assigned tasks
Provide administrative/clerical support to the Claims department
Provide assistance to both internal and external customers
Other duties as assigned.

You have

Minimum 2 years Administrative/Clerical background, preferably in a Healthcare environment
Dental or vision industry experience preferred
Associate degree in a related field preferred; High School diploma required
Previous Dental coding experience preferred, Medical coding experience will be considered
Ability to communicate well with providers and office staff both verbally and in writing
Ability to multi-task, work in a fast-paced environment and detail oriented
Ability to work overtime as needed
Proficient in Microsoft Office Suite, specifically Word and Excel and other window-based applications
Prior data entry experience preferred

We Offer

Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.
Competitive compensation package.
Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
Life and disability insurance.
A great 401(k) with company match.
Tuition assistance, paid parental leave and backup family care.
Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
Employee Resource Groups that advocate for inclusion and diversity in all that we do.
Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.

Required profile