Primary responsibilities include taking a new provider application from receipt to inclusion on directory along with ongoing updates and processing of claims. This includes accurate and timely entry of provider data including provider applications and contract information, status changes, payee changes, verifying all the credentialing criteria for practitioners that have applied to the network, including both initial and re-credentialing and follow up with practitioners as needed to obtain information for the credentialing process or as a result of mail being returned undeliverable to DentaQuest.
High School Diploma or GED required.
Previous experience working with files or the collection and coordination of data preferred.
Proficient in the use of general computer software (Word and Excel required).
Excellent customer service skills.
Excellent verbal and written communication skills.
Ability to prioritize and organize multiple tasks.
Ability to remain organized with multiple interruptions.
Ability to make independent decisions.
Strong attention to detail.
Strong business acumen.
Ability to adapt to constantly changing environment.
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DentaQuest - 2 years ago