Employer Industry: Dental Insurance

Why consider this job opportunity:
- Salary range of $21.00 - $26.00 per hour, with potential for future salary growth
- Excellent benefits package, including 100% employer-paid dental coverage and affordable medical insurance
- Opportunity for career advancement and growth within the organization
- Flexible work options, including remote or hybrid positions available
- Generous vacation and sick leave policies, with the ability to roll over unused time
- Employee Assistance Program (EAP) to support mental health and well-being

What to Expect (Job Responsibilities):
- Investigate and resolve member, Health Plan Partner-member, and network provider grievances and appeals
- Process all appeals within regulatory guidelines and respond in writing to members and providers
- Verify information related to data entry, claims submissions, authorizations, and workflow processes
- Interface with internal and external entities to maintain positive and professional relationships
- Occasionally intake all member and provider grievances and appeals

What is Required (Qualifications):
- High School Diploma or GED required
- Minimum of 3 years of dental background
- At least 2 years of office administrative support experience in healthcare
- Strong knowledge of applicable laws and regulations, including appeals guidelines established by CMS
- Excellent written and verbal communication skills

How to Stand Out (Preferred Qualifications):
- Experience in a Quality Management Department
- Familiarity with dental terminology and dental insurance plans
- Excellent time management skills and the ability to work independently in a fast-paced environment
- Intermediate knowledge in Microsoft Word and Excel
- Availability to work overtime when required

#DentalInsurance #CareerOpportunity #CompetitivePay #EmployeeBenefits #RemoteWorkOptions

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