Producer Contracting Specialist

Delta Dental•Alpharetta, GA

About The Position

The Producer Contracting Specialist will be responsible for providing administrative support associated with the producer credentialing, re-credentialing and contracting functions as mandated by state and federal regulations and internal policies and procedures. The Specialist will collaborate with the producer credentialing, contracting and compensation teams as well as our external broker community, all state department insurance agencies and the California department of managed health care.

Requirements

1+ years of experience w/High School
Proven commitment to excellence in customer service.
Strong attention to detail and accuracy when completing data entry.
Strong analytical, problem solving and reasoning skills.
Experience with producer licensing and credentialing.
Knowledge of state regulatory broker appointment requirements, health care industry or terminology.
Proficient in Microsoft applications such as: Excel, Word, Outlook, SharePoint and Teams.
Ability to prioritize work, follow-up on commitments on a timely basis, work under pressure and adhere to deadlines.
Ability to work independently while having strong teaming skills.
Ability to communicate professionally, clearly and effectively with producers, management, staff and other business partners.
Knowledge and understanding of producer licensing, credentialing and appointments.
Ability to type 50 wpm.

Nice To Haves

Insurance and/or healthcare experience is preferred

Responsibilities

Reviews new broker portal appointment application for accuracy and completeness and processes application according to specific policies and procedures and state and federal mandates.
Prepares, distributes and reviews administrative processing document and related reports for the producers.
Submits, updates and maintains producer appointments, appointment terminations and background checks.
Re-credentials and reconciles renewal appointments by validating the accuracy of the agents' demographic and license information.
Updates and maintains producer demographic information on the broker portal and appointment software.
Credentials licensed agents associated with enterprise insurance partners (eg. affiliations, medical, etc.) and internal sales departments.
Reviews, prepares and maintains annual appointment renewal notices and terminations.
Completes tasks related to the appointments and agreements.
Creates and maintains agent fee agreements, consultant agreements and other producer related contracts.
Communicates with the producer to resolve any discrepancies and inquiries related to the producer's application, appointment or agreement.
Collaborates with internal business partners to successfully complete their tasks and responsibilities.
Participates in system maintenance and upgrade testing.