Provider Network Representative

TEKsystemsAtlanta, GA
$24 - $24Remote

About The Position

This role involves managing contract-related communications, processing submissions, and ensuring efficient workflows. The ideal candidate will excel in handling inquiries, managing email buckets, and supporting claims and network processes.

Requirements

  • High School Diploma or GED required
  • Minimum of 1 year in a dental office environment or dental payer
  • Strong customer service skills.
  • Strong organizational, prioritization, and time management skills.
  • Detail-oriented with the ability to work independently and meet objectives.
  • Intermediate knowledge of Microsoft Office Suite.
  • Ability to utilize available resources to research issues and follow through until resolved.
  • Strong verbal and written communication skills in English

Nice To Haves

  • Bachelor’s degree preferred.
  • Knowledge of dental terminology is highly preferred.
  • Knowledge of dental terminology, credentialing, and provider contract processing is highly preferred.
  • bilingual skills are a plus

Responsibilities

  • Handle contract-related emails and ensure processes are followed accurately.
  • Manage incoming inquiries, categorize them appropriately, and distribute them to the relevant teams or individuals.
  • Process submissions from providers.
  • Oversee and manage email, ensuring timely responses and organization of communications.
  • Assist in reprocessing claims as needed to support network operations.

Benefits

  • Medical, dental & vision
  • Critical Illness, Accident, and Hospital
  • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
  • Life Insurance (Voluntary Life & AD&D for the employee and dependents)
  • Short and long-term disability
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off/Leave (PTO, Vacation or Sick Leave)
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