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Featured11 days agoEngages, consults and educates members based upon the member's unique needs, preferences and understanding of health plans, tools and resources to help guide the members along a clear path to care. Customer Service experiences in a transaction-based...
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15 days agoThe Credentialing Representative 2 reviews the applicant's education, training, clinical privileges, experience, licensure, accreditation, certifications, professional liability insurance, malpractice history and professional competence.
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17 days agoProvide clinical review of predeterminations, claims, and/or appeals by accurately reviewing radiographs and/or other diagnostic information to determine claim decision in accordance with clinical guidelines. May also include other responsibilities...
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23 days agoManage the dental network, ensuring provider recruitment and retention goals are met. Negotiate contracts with dental practices and maintain positive relationships with providers. Lead a team of no more than 10. Oversee administrative work performed by...
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23 days agoUnder limited supervision, the Billing Coordinator is responsible for providing AR and claims metrics to support daily, monthly, quarterly and yearly revenue and collections goals; timely reviewing of codes for accuracy; accurate timely creation and...
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Featured24 days agoSeeking a candidate who has passed the NBDHE examination. As a remote tutor, the contractor will provide NBDHE exam prep sessions to students via an online learning platform. This job opportunity has part-time, flexible hours. The hourly pay is $20-$45.
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30+ days agoResponsible for contacting members who haven't been to the dentist for a specified period of time to assist with locating a dentist and scheduling an appointment. The coordinator will need to assist the member with locating a dentist, changing the...
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30+ days agoProvide excellent phone skills: clear, articulate communication to accurately describe our services to patients and collect information. Provide a superior customer service experience through the phone. Meet departmental goals for inbound and outbound...