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Form of workJob Description
Delta Dental of New Jersey is a smile powerhouse and we're looking for a Dental Network Coordinator to help grow our provider network and support our providers with exceptional service. Based in Parsippany, NJ, we've introduced a hybrid schedule (Wednesday +1) that promotes collaboration onsite every Wednesday and flexibility for our associates with three remote days and the ability to choose another day to be onsite each week. Our Professional Services Team is well tenured, professional and prioritizes support of our providers and one another.
In addition to a great culture, we offer excellent benefits including medical, dental, Rx and vision, matching 401k, enhanced tuition reimbursement, and generous time off to recharge. We value our associates and support everyone with learning and development, active wellness and diversity initiatives, and even paid time off to volunteer at causes that you care about. Come join a great team, be rewarded and get your smile on.
Position Summary
This position is responsible for Delta Dental’s network recruitment for specified dental networks within New Jersey. Responsibilities include assistance in developing, and implementing recruitment, developing relationships with network offices staff and dentists, and reporting any related dental information and recommendations as necessary to the Dental Network Manager. This position represents Delta Dental to the dental community for purposes of participation, network services, recruitment and retention and is responsible for achieving recruitment goals. This position is a hybrid position based in Northern New Jersey, with ability to travel within the territory.
Essential Functions & Responsibilities
- Responsible for assisting Professional Services Department in developing and implementing dental network recruiting goals, targets, and plans for Delta’s Networks in specified geographic areas of Northern New Jersey.
- Responsible for dental network recruitment including, but not limited to, targeted recruiting, mailings, office visit, follow-up phone calls, and achieving recruiting goals.
- Responsible for Delta networks as it relates to pilot programs or new dental initiatives for participating dental offices.
- Assists Professional Services Department in gathering missing office credentialing/re-credentialing information, educating the office regarding Delta’s programs, proper claims submission, Web-Site information, and making sure the office has up-to-date manuals, other Delta instructional literature, and all necessary and current signed agreements and contracts.
- Assists in-house credentialing staff in providing and collecting data for measuring and tracking provider status: terminations, additions, holds, credentialing/re-credentialing, conditional approvals and office evaluation results and follow-up.
- Working proficiently in DentalXChange to keep credentialing, re-credentialing, adding new locations (or network), and keeping provider contracts constantly moving through workflow to ensure completion.
- Working with offices on issues such as balance billing problems, claim issues in NJ/CT as well as other states and adhering to national processing policies.
- Maintains network stability by developing positive relationships with network dental offices via office visits, telephone and service issues and follow-ups.
- Assists Professional Services Department in public relations efforts with the dental community, Including, but not limited to; attendance at NJDA and/or CSDA Conventions, Delta Dental Days, Delta Office Manager Council, supporting other team members, and participating or conducting Delta educational seminars at specified dental meetings.
- Assists as necessary Delta marketing staff in meetings, presentations, and service-related calls for key accounts as related to network development and credentialing standards.
- Network with dentists, practice management vendors and clearinghouses to improve processes.
- Assist in maintaining data and tracking trends as directed. Identifies process problems and suggests methods for improvement.
- Promotes ECS (electronic claims submission), EFT (electronic funds transfer), ERA (electronic remittance assistance) through education and training to help participating offices understand and maximize their Delta Dental participation experience.
- Utilize technology such as DentalXChange and Monday.com to assure efficient movement of ECS/EFT updates from the DNC’s to the operations staff.
- Develops strategies to increase ECS/EFT volume.
Essential Qualifications
DDNJ/CT Competencies
Accountability
Adaptability-Flexibility
Communication
Customer Focus
Listening Skills
Organization
Planning
Problem Solving-Analysis
Project Management
Collaborative Process-Teamwork
Dependability
Multi-tasking and follow-up on numerous tasks
Knowledge, Skills & Abilities
Technical and Functional
- Ability to provide excellent customer experience, internally and externally
- Ability to manage multiple issues occurring simultaneously, including effective follow-up on provider inquiries
- Ability to travel extensively throughout the states of New Jersey and Connecticut, including day trips and overnight stays as necessary. A valid active drivers’ license is required
- Knowledge of government regulatory requirements as they apply to dental practice.
- Previous dental office management experience with some management skills necessary
- Must have strong dentist recruitment, contracting and negotiating skills
- Strong oral, formal and informal presentation, and written communications skills
- Strong commitment to work ethic to be able to assume multiple responsibilities while working in a highly independent environment
- Must be proficient in Microsoft Office
- Experience with DentalXChange, WorkFlow and Monday.com preferred
Required Physical Abilities
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Ability to sit and perform extensive close keyboard and PC work
- Ability to walk, talk or hear
- Occasionally required to stand, sometime for long periods at conventions, and reach with hands and arms
Working Environment
- Ability to meet deadlines and attendance standards.
- Dedicated work area in your home
- The noise level in the work environment is usually moderate.
- This classification will be required to sign a confidentiality agreement.
Experience, Education and Certifications Required
Experience Required
- Experience in the administration of traditional and managed care dental insurance programs.
- Experience in professional interactions with dentists or other medical professional required.
Required Educational Level
- Bachelor’s Degree or equivalent work experience preferred
Certifications required/preferred
- Certification in dental auxiliary training necessary-CDA, RDA, RDH, LPN or RN strongly preferred
