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Form of workJob Description
The Provider Engagement Professional 1 - Network Development and Relations-Dental works directly with our Provider Network to develop and strengthen relationships. Educating our providers on the value of participating in the Client Dental Network and creating a mutual professional relationship with those providers, is key to the growth of the Network. The ability to create an easy to do business with environment for the providers is a key function of this role.
Work with DSO & large group partners on credentialing and re-credentialing projects.
Work with claims unit to identify and assist in claim resolutions for providers on all systems
Educate Provider Offices on all existing and new products and plans
Provide support to Provider Offices on all maintenance and service issues
Assist with member/provider disputes and provide assistance to SIU and G&A
Assist Provider Offices/Rental Partners with any contract issue.
Work proactively with offices regarding fee schedule and financial incentive discussions.
Work with existing offices to contract on the new service agreement
Work with Rental Partners to assure cost saving measures have been met.
Add/Term locations, associates and products to existing provider relationships
Provide support with new product roll-outs and assist in re-contracting efforts
Process terminations of providers
Additional Job Description
WORK STYLE: Mostly remote work, with minimal travel for meetings, conferences, and/or trainings
WORK HOURS: Typical business hours (Monday-Friday, 8 hours/day, 5 days/week) in the employee's time zone, with some flexibility possible depending on business needs.
Very rarely will before/after hours, nights, weekends, holidays, or overtime be offered and will not be required.
Required Qualifications
MUST have high speed internet of 25MB DL/10MB Upload*****
Experience within the dental field/industry (ie clinical experience, billing experience, front office/reception experience, sales/marketing experience, etc)
Detailed oriented
Proactive thought leadership/Root Cause problem resolution skills
Excellent oral and written communication skills
Ability to multi-task, manage multiple projects, and meet deadlines
Desire to learn and advance
Preferred Qualifications
STRONGLY PREFERRED: Significant knowledge of Clients Dental & Vision platforms
Computer Proficiency and Experience: MTV, CRM, QicLink, Excel, Power BI and Outlook, DPNMS (new internal system)
Bachelor's Degree
At least 3 years of experience in Health Care industry
Customer Care/Service Experience
Additional Information
Work at Home Requirements
WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
Satellite and Wireless Internet service is NOT allowed for this role.
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Work with DSO & large group partners on credentialing and re-credentialing projects.
Work with claims unit to identify and assist in claim resolutions for providers on all systems
Educate Provider Offices on all existing and new products and plans
Provide support to Provider Offices on all maintenance and service issues
Assist with member/provider disputes and provide assistance to SIU and G&A
Assist Provider Offices/Rental Partners with any contract issue.
Work proactively with offices regarding fee schedule and financial incentive discussions.
Work with existing offices to contract on the new service agreement
Work with Rental Partners to assure cost saving measures have been met.
Add/Term locations, associates and products to existing provider relationships
Provide support with new product roll-outs and assist in re-contracting efforts
Process terminations of providers
Additional Job Description
WORK STYLE: Mostly remote work, with minimal travel for meetings, conferences, and/or trainings
WORK HOURS: Typical business hours (Monday-Friday, 8 hours/day, 5 days/week) in the employee's time zone, with some flexibility possible depending on business needs.
Very rarely will before/after hours, nights, weekends, holidays, or overtime be offered and will not be required.
Required Qualifications
MUST have high speed internet of 25MB DL/10MB Upload*****
Experience within the dental field/industry (ie clinical experience, billing experience, front office/reception experience, sales/marketing experience, etc)
Detailed oriented
Proactive thought leadership/Root Cause problem resolution skills
Excellent oral and written communication skills
Ability to multi-task, manage multiple projects, and meet deadlines
Desire to learn and advance
Preferred Qualifications
STRONGLY PREFERRED: Significant knowledge of Clients Dental & Vision platforms
Computer Proficiency and Experience: MTV, CRM, QicLink, Excel, Power BI and Outlook, DPNMS (new internal system)
Bachelor's Degree
At least 3 years of experience in Health Care industry
Customer Care/Service Experience
Additional Information
Work at Home Requirements
WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
Satellite and Wireless Internet service is NOT allowed for this role.
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
