Enter and manage dental claims and treatment plans to ensure timely payment for our providers and members.
Research and compile information from various sources to resolve inquiries and claim discrepancies.
Contact providers to obtain necessary information to assess claims.
Adjudicate claims in accordance with Dental Provider Services policies and standards with a high degree of accuracy and efficiency.
Monitor individual production to ensure that claim turnaround expectations are met.
Make suggestions to improve workflows, increase efficiency and be innovative.
Review current documentation and complete any required updates or enhancements as needed.

Knowledge of dental terminology and nomenclature is a definite asset.
Demonstrated commitment in delivering superior customer service, including establishing and maintaining effective working relationships with internal and external stakeholders.
The ability to work with minimal supervision, with a strong sense of accountability.
Strong problem-solving abilities and attention to detail are critical.
Excellent organizational and time management skills with the ability to prioritize tasks, manage a heavy workload, and meet tight timelines.
Proficiency with Microsoft Office Suite is required, and knowledge of Teams and SharePoint is an asset.

Dental Claims Coordinator – Provider Services

Key skills