Dental Insurance Claims Review Specialist (Smile Specialist) - Delta Dental of Wyoming - Seaford, DE

This position is located in Cheyenne WY and is NOT a remote position. Employees will be required to work within our Cheyenne WY office.
Our Smile Specialists are the primary point of contact to dental offices, employers, subscribers and brokers. To be a successful Smile Specialist at Delta Dental of Wyoming, you should have experience as a dental assistant or hygienist, understand dental terminology, possess excellent communication skills, be customer-focused, detail oriented and efficient.
Essential Duties

Works closely with dental offices on claims processing and claims inquiries.
Processes claims and adjustments accurately and within specific timeframes.
Responsible for credentialing providers, pulls monthly reports as well as reports upon credentialing.
Follows & understands national processing policies and departmental guidelines/policies for claims processing.
Processes claim appeals in a timely from dental offices as well as subscribers.
Provides personalized customer service of the highest level by establishing rapport and presenting a positive and friendly attitude.
Answers incoming calls relating to inquiries regarding benefits, claim status, provider information, eligibility information and all other requests. Accurately explains benefits, plan coverages, claim payments and the availability of self-service tools.

What we are looking for:

Dental Assistant or Dental Hygienist.
Dental claims processing, insurance knowledge and/or dental office experience required.
Strong organizational/time management skills and multi-tasking abilities.
Ability to respond quickly and accurately to inquiries. Ability to continuously meet/exceed department standards
Extensive computer knowledge/skills.
A positive attitude with ability to adapt to change and learn new things.
Requires strong customer service skills, strong multi-tasking skills, problem resolution skills, accurate data entry skills and strong analytical aptitude.
Must be able to handle all incoming and outgoing information in compliance with all HIPAA regulations.

Job Type: Full-time
Pay: $3,200.00 - $4,000.00 per month
Benefits:

401(k)
401(k) matching
Dental insurance
Health insurance
Paid time off
Vision insurance

Schedule:

8 hour shift
Monday to Friday

Experience:

Dental assisting or Dental hygiene: 1 year (Required)

Ability to Commute:

Cheyenne, WY 82009 (Required)

Work Location: In person

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