Dental Provider Service Representative

Blue Cross and Blue Shield AssociationHingham, MA
371d$20 - $25

About The Position

BCBSMA is hiring Dental Provider Service Representatives for our elite Dental Provider Services Division! We are looking for Dental Provider Service Representatives to resolve telephone and written dental provider eligibility, benefit and claims-related inquiries in a fast pace, results driven, inbound call center. The Dental Provider Service Representatives will be responding to provider benefit-related issues and questions, responding to questions on corporate and dental policies and guidelines, timely filing, account receivables, and claims processing. The Dental Provider Service Representatives will represent the Dental Operations Division in a positive and professional manner through appropriate telephone techniques and written responses. Our Dental Provider Service Representatives work in a structured inbound service center environment.

Requirements

  • Minimum HS Diploma or GED is required
  • At least 1 year experience working in a direct contact, customer service environment preferred
  • Stellar attendance and punctuality
  • Call Center experience, highly desired
  • Strong verbal and written communication skills in addition to being a team player are a must
  • Must be self-motivated and possess strong organizational and multi-tasking abilities in order to meet strict guidelines.
  • Must be able to provide service designed to meet the customer's needs, showing empathy and the ability to apply reasonableness.
  • Must have a personal commitment to high quality performance through integrity, accountability, compassion, and teamwork.
  • Proficient computer skills (E.g., Microsoft Word, email management, Internet use, etc.)
  • Strong navigational skills with multiple systems and current knowledge of technology

Responsibilities

  • Assess, identify, and resolve a provider and/or partner internal inquiries in a timely and professional manner.
  • Resolve provider inquiries within the departmental quality and business metric goals established.
  • Research and handle complex requests in an appropriate time frame with effective follow-up.
  • Review and manage personal inventory, in a timely manner, including aged inquiries.
  • Communicate in a clear and concise manner to providers, peers, and all levels of leadership.
  • Contribute to the achievement of divisional and corporate goals.
  • Comply with corporate, division, and team policies and guidelines.
  • Educate providers on electronic technology and track trends for process improvements.
  • Continually develop telephone techniques and research skills through self-assessment and constructive feedback.
  • Monitor performance indicators in relation to individual, team, and divisional goals.
  • Participate in workgroups and attend meetings to represent the division as required.
  • Share innovative and creative solutions that result in increased levels of provider satisfaction.
  • Foster a team-based environment by participating in various activities that lead to Associate support and provider satisfaction.

Benefits

  • Opportunities for continued salary growth as skills progress
  • Annual raise/bonus based on performance
  • Competitive Pay, Benefits, 401K & More!
  • Daytime Work Hours: Monday-Friday 8:30AM-4:30PM
  • No weekends or holidays!
  • 3 Weeks Vacation Time + Wellness Time + Personal Days
  • Professional development & career opportunities at BCBSMA after 15 months of service

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Industry

Religious, Grantmaking, Civic, Professional, and Similar Organizations

Education Level

High school or GED

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