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Paramount Dental offers insurance products in Indiana Kentucky and Ohio and pays claims in all 50 states. This Ohio and Indianabased company has been specializing in providing dental benefits to individuals since 1988.
Paramount Dental offers dental and vision plans to businesses of all sizes participates in the Marketplace Exchange and serves thousands of Medicare members through partnerships with health plans throughout the United States. The company originally founded by dentists focuses on providing its clients with products that work to improve their overall health.
As a part of ProMedica Paramount Dental is driven by ProMedicas mission to improve your health and wellbeing. ProMedica has been nationally recognized for its advocacy programs and efforts to address social determinants of health. Paramount Dental strives to provide an exceptional experience to every member.
REPORTING RELATIONSHIPS/SUPERVISORY RESPONSIBILITIES
This role will report directly to the Call Center Team Lead. The role does not support direct reports.
POSITION SUMMARY
Provide accurate communication to outside clients (dentists members agents and employer
groups) for claim enrollment and benefit service support. Coordinate processes and workload
with the assigned Operational Team Leader.
ACCOUNTABILITIES
*All duties listed below are essential unless noted otherwise*
1. Take information requests from outside clients respond back with requirement details and
ensure positive customer service support.
2. Responsible for problem solving client issues with regard to plan information enrollment
and client material.
3. Provide assistance and training for all webbased functions.
4. Communicate website capabilities in an efficient and innovative manner.
5. Direct clients to website to verify enrollment benefits and submit claims/pretreatments.
6. Data entry and organization of information as it was submitted by clients (dentists employer
groups and agents).
7. Complete documents as a result of the system processing.
8. Other duties as assigned.
REQUIRED QUALIFICATIONS
Education: High School diploma or GED
Skills: Excellent computer skills including Word and Excel or similar software. Must have excellent interpersonal skills necessary to communicate effectively with callers physicians and offices. Strong customer service orientation and interpersonal skills for positive relationship building. Must possess good organizational and priority setting skills and exercise independent judgment with minimal guidance and supervision. Selfmotivated and directed with the ability to effectively prioritize and execute tasks in a highpressure environment. Team oriented within the Operations area in order to maintain a collaborative environment for problem solving.
Years of Experience: N/A
License: N/A
Certification: N/A
PREFERRED QUALIFICATIONS
Education: N/A
Skills: Strong knowledge base of dental billing office practices including practice management
computer system experience. Demonstrate knowledge of ADA/CDT coding regulations and
requirements. Basic knowledge of insurance regulations.
Years of Experience: 12 years experience in telephone sales or telephonebased customer
service.
License: N/A
Certification: N/A
WORKING CONDITIONS
Personal Protective Equipment:N/A
Physical Demands:Must be able to sit for extended periods of time; possess dexterity of hands
and fingers to operate a computer keyboard mouse and phone for data entry; requires carrying a laptop to meeting locations.
The above list of accountabilities is intended to describe the general nature and level of work performed by the incumbent; it should not be considered exhaustive.
ProMedica is a missionbased notforprofit integrated healthcare organizational headquartered in Toledo Ohio. For more information please visitwww.promedica/aboutpromedica
Qualified applicants will receive consideration for employmentwithout regard to race color national origin ancestry religionsex/gender (including pregnancy)sexual orientation gender identity or gender expression age physical or mental disability military or protected veteran status citizenship familial or marital status genetics or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA) if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica please contact
Equal Opportunity Employer/DrugFree Workplace
Required Experience:
Unclear Seniority
Full-Time