Offer summary

Qualifications:

High school diploma or equivalent required., Two years of experience in an office environment., Proficiency in data entry with a minimum of 7,000 keystrokes per hour and 95% accuracy., Typing speed of at least 40 correct words per minute with 90% accuracy..

Key responsabilities:

Respond to written and telephone inquiries from providers regarding their records and network agreements.

Establish and maintain departmental records and files, including credentialing and provider updates.

Research and resolve inquiries using various resources, including the National Provider File.

Process claims assigned to the Provider Records worklist.

Job description

Job Summary: Job Title:

Provider Records Advisor

Number of Positions:

1

Location:

Okemos, MI

Location Specifics:

Fully Remote

Job Summary:

At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities for all. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.

At Delta Dental, we celebrate our All In culture. It’s a mindset, feeling and attitude we wrap around all that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community.

Position Description

Responds to written and telephone inquiries, using proper etiquette, from providers regarding their records and network agreements
Responds to provider questions, including specialty agreements and W-9 information
Establishes electronic funds transfers (EFT) records when appropriate
Establishes and maintains departmental records and files, including initial credentialing and business or provider updates
Researches and resolves inquiries by accessing the provider, National Provider File (NPF), and other resources
Processes claims assigned to the Provider Records worklist
Operates office equipment which may include personal computer, photocopier, scanner, calculator, fax, etc.

Minimum Requirements:

Bidding Requirements

Possess a high school diploma or equivalent
Two years of work experience in an office environment.
Ability to begin work at 7:30 a.m. or be required to work until 5:00 p.m. (rotating basis)
Successful completion of a data entry test sponsored by Human Resources within the past 12 months / 7,000 keystrokes per hour with 95% accuracy (test waived if candidate currently holds or has previously held a CRT Operator position)
Successful completion of a typing test administered by Human Resources within the past 12 months with a typing speed of 40 correct words per minute (minimum of 90% accuracy) (test waived if candidate currently holds a position that requires at least 40 correct words per minute.)

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.

Required profile