Delta Dental of Washington-posted 1 day ago
$40,905 - $55,298/Yr
Full-time • Entry Level
Spokane, WA
251-500 employees

Do you have an eye for detail and a passion for ensuring our customers have the best experience possible? If so...this role is for you! Our Quality Assurance Coordinators develop and maintain a system to assure that all claims, calls, texts and online communication, Group Administration tasks, and Provider Services tasks are handled by Delta Dental of Washington consistently and meet the company's established standards, the customer's specifications, and achieves outstanding quality and reliability levels. This role will work closely with our Operations Managers, Supervisors, and our Training team. At Delta Dental of Washington our vision is that all people can enjoy good oral and overall health, with no one left behind. We succeed because of a shared commitment to a set of values that guide everything we do – for our customers, for our communities, and for each other. We are Accountable. We lean in with Courage. We stay Curious. We are Inclusive. We act with Integrity. We offer a highly competitive medical, dental and vision plans as well offering a generous 401k match and all employees start accruing vacation and sick time from their very first day. We empower employee development through our tuition reimbursement plan, professional development plans, and employee-led communities. The pay range for this position In Western Washington varies between $40,905.00 – $55,298.00, and for Eastern Washington varies between $40,560.00 - $54,416.00. Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza intends to offer the selected candidate a base pay within this range, dependent on job-related, non-discriminatory factors such as experience. Base pay will also be adjusted based on the candidate's geographic location. Essential Responsibilities include the following: The list of responsibilities listed is not intended to be comprehensive. Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza reserve the right to change the responsibilities at any time with or without notice.

  • Evaluate claim quality for Operations.
  • Maintain audit performance statistics and error trends.
  • Review our Service Specialists and Support Team inbound calls to offer feedback based on ability to provide exceptional customer service focused on the customer experience, employee experience, ability to display empathy and build a connection with our customer and provide valuable information while strengthening our brand.
  • Review and evaluate online communication via text, chat and/or email to ensure that exceptional written communication is provided to our customers.
  • Review and evaluate daily Group Administration transactions for retro adjustments, new groups, data entry transactions, and specific document processes.
  • Review and evaluate PSR updates including, address changes, TIN changes, and EFT adjustments associated with TIN adjustments, network adds, credentialing and recredentialing.
  • Partner and collaborate monthly with Operations Training Dept. to review performance and potential areas for associate development.
  • Maintain current knowledge base of these consistently changing entities: Dental on Demand system enhancements and modifications, procedural documentation, contract terms, federal and state regulations, Delta Dental Plans Association policies and procedures and any other information pertaining to accuracy.
  • Maintain open communication between Quality Management and Operations Leadership and staff, building open lines of communication to strengthen the team’s relationship with all groups.
  • One year call center, claims processing, Provider Services and/or Group Administration experience required.
  • Effective communication skills (both written and oral)
  • Proven skills in working independently and as part of a team, while using discretion in decision making and good judgment in problem solving
  • Proficient PC skills, experience with Excel and Access
  • A high degree of impartiality and confidentiality when reviewing work to insure objective reporting
  • A strong desire to perform well and continue to learn
  • High School diploma or equivalent required.
  • highly competitive medical, dental and vision plans
  • generous 401k match
  • all employees start accruing vacation and sick time from their very first day
  • tuition reimbursement plan
  • professional development plans
  • employee-led communities
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service