Provider Concierge Specialist Delta Dental 529 reviews - Rancho Cordova, CA This position is responsible for responding to provider requests related to provider recruiting and contract interpretation supporting Delta Dentals provider networks. Educates and promotes various fee for service, Federal Services national programs; building relationships with the local Delta Dental member companies to achieve common goals; and researching and responding directly &/or indirectly to inquiries from network dentists regarding escalated claims, fees, participation, NPF matters and other issues. Also responsible to research executive inquiries and take appropriate actions to resolve the providers issue. Provides clarification to providers regarding communications issued by the plan in response to regulatory requirements and/or policy changes. Makes decisions to resolve provider issues in a fast, fair and cost effective manner to ensure provider satisfaction. How you will make an impact: * Responds to provider calls and correspondence related to instructions on network participation, contract interpretation, contracted fees, resolving complex claims and service issues, provider communications and provider terminations at point of contact. * Educates and promotes the various Delta provider networks; drafts content for various collateral materials for distribution to network dentists; advises local Delta Dental member company PR staff on program changes, and quickly identifies trends in service issues and recommends course of action. * Builds and maintains strong relationships with the local Delta Dental member companies to achieve common goals; works to meet the local business needs as well as the Federal Services needs for recruitment and contracting of the PPO network, as needed to support the Network Development business unit. * Assists with provider portal sign-on issues and resets passwords when necessary. * Researches and responds directly and/or indirectly to inquiries from network dentists or local member companies regarding contractual issues, escalated claims, fees, participation, and other provider network related issues. * Resolves 1099, EFT and ERA discrepancies with provider offices; verifies external data bases. * Instructs and educates providers on Credentialing process and acts as a liaison between the provider and Delta Dental to ensure timely processing. * Verifies and updates provider files with new demographic information at point of contact. * Performs other miscellaneous duties as assigned. What we look for: * Outstanding customer service skills. * Strong organizational/time management skills and multi-tasking abilities. * Analytical and problem-solving skills and the ability to make decisions with limited information. * Strong written, verbal, interpersonal and phone skills * Detail oriented with mathematical, reading, and comprehension skills. * Knowledge of Current Dental Terminology (CDT) codes and dental nomenclature. * Ability to type 40 words per minute with no more than two errors. * Knowledge of the companys claims processing systems, claims flows and adjustment notices. * Must be able to exercise independent decision making in lieu of specific instructions and or procedures. * A high school diploma or GED but candidates with proven experience will not be excluded from consideration. * A minimum of 2 years related experience (Managed Care or Medical/Dental Insurance experience). * A Bachelors degree is preferred. Equivalent experience may be considered in lieu of degree. * A minimum of 3 years of related experience working in a large dental or medical plan, provider relations, and operations (claims & customer service). Benefits and perks: * 12 days starting vacation plus 12 holidays and your birthday off! * 100% paid for medical option, dental and vision * Onsite gym and or gym discount and fitness incentive * Flexible work arrangements * Culture of learning: Substantial tuition reimbursement to improve your skills * Career growth: We love promoting from within * Strong commitment to work/life balance * Technology allowance * Social responsibility and volunteer opportunities If you think this sounds like you, lets chat. We would love to tell you more! ABOUT Delta Dental As the first company to specialize in dental insurance, we are passionate about oral health and its importance to future generations. Our core purpose is the advancement of oral health care to our customers, partners and consumers through dental insurance programs and philanthropic efforts. We are part of the Delta Dental Plans Association, a network of companies that provides dental coverage to 74 million people in the U.S. Delta Dental of California, Delta Dental of New York, Inc., Delta Dental of Pennsylvania and Delta Dental Insurance Company, together with our affiliate companies, form one of the nations largest dental benefits delivery systems, covering 33 million enrollees. All of our companies are members, or affiliates of members, of the Delta Dental Plans Association, a network of 39 Delta Dental companies throughout the country. Delta Dental provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Delta Dental complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. 2 hours ago - save job - original job Apply On Company Site Other jobs you may like Part Time - Concierge Attendant Marriott Rancho Cordova - Rancho Cordova, CA Stanford Hotels Corporation - 12 days ago Concierge Sunrise Senior Living - Carmichael, CA 30+ days ago Service Specialist IT Concierge Epiq Systems, Inc. - Sacramento, CA 30+ days ago Concierge - Atria Carmichael Oaks Atria Senior Living - Sacramento, CA 23 days ago * Provider Concierge Specialist jobs in Rancho Cordova, CA * Jobs at Delta Dental in Rancho Cordova, CA * Provider Concierge Specialist salaries in Rancho Cordova, CA Delta Dental Delta Dental 529 reviews Since 1954, Delta Dental has been working to improve oral health and hygiene by emphasizing preventative care, because we believe that... 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