Enrollment and Billing Dental Insurance Coordinator

Northeast Delta Dental•Concord, NH

20d•Onsite

About The Position

Northeast Delta Dental in Concord, NH is looking to hire a full-time, onsite, Administrative Enrollment and Billing Coordinator to update records, add new subscriber information in the customer enterprise system, provide guidance to group customers related to subscriber enrollment and benefits administration. The administrative Enrollment and Billing Coordinator will also be a resource on enrollment processing guidelines, billing, policies and procedures, and legal and regulatory guidelines for stakeholders. We are seeking a customer-focused professional with a strong background in delivering exceptional service. The ideal candidate is compassionate yet resourceful, able to think critically in the moment and adapt to changing situations. This individual works effectively both independently and collaboratively within a team environment. They are technologically proficient, quick to learn new systems and processes, and able to follow established guidelines and direction with accuracy. Success in this role requires flexibility, accountability, strong organizational skills, and outstanding interpersonal abilities to effectively support and communicate with our dental subscriber groups.

Requirements

Associate's Degree in Business, General Studies, Communications, or related field, plus at least one year of related experience or an equivalent combination of training, experience, and/or education.
Computer proficiency required, especially with the Microsoft Office Suite.
All candidates must be authorized to work for any employer in the United States without sponsorship now and in the future.

Nice To Haves

Customer-focused professional with a strong background in delivering exceptional service.
Compassionate yet resourceful, able to think critically in the moment and adapt to changing situations.
Works effectively both independently and collaboratively within a team environment.
Technologically proficient, quick to learn new systems and processes, and able to follow established guidelines and direction with accuracy.
Flexibility, accountability, strong organizational skills, and outstanding interpersonal abilities.

Responsibilities

Assures data integrity by accurately entering enrollment data into the custom enterprise system based on underwriting, eligibility, and group contract criteria.
Responds to customer inquiries received via phone, email, fax, or letter.
Provides information to internal and external customers on underwriting funding, eligibility group guidelines and the Group Admin Portal.
Facilitates eBilling for the risk business usage by encouraging, educating, and enrolling groups. Researches, identifies and resolves errors in eBilling for Risk business, and responds to customer inquiries.
Manages the billing process by preparing and mailing risk bills, performing collection of current and delinquent accounts, and adjusting the hold status of claims according to company collection guidelines.
Calculates and prepares billing adjustment forms and conducts billing audits for risk accounts. Communicates and coordinates monthly billing with internal stakeholders, risk groups and outside vendors.
Performs group enrollment audits and makes eligibility adjustments. Reviews enrollment data for accuracy by comparing and analyzing group reports and performing audits.
Collaborates with Third Party Administrators (TPAs) and employer groups to reconcile discrepancies and update records.