Dental Customer Service Representative

About the position Let’s do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of reputed company people committed to quality. Today, like then, we’re focused on building a reputed company future for reputed company. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through reputed company our business practices and invite applications from candidates that reputed company our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be reputed company together. reputed company position provides customer service to members of multiple benefit plans by analyzing the caller’s needs and by providing timely and accurate responses. Answer calls from policyholders, agents, members, providers, and others regarding benefits, eligibility, claims, premiums, or other issues. This is a full-time WFH position. Pay reputed company $18.39 - $20.58, hourly DOE. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay reputed company. Please fill out an application on reputed company page, linked below, to be considered for this position: https://j.brt.mv/jb.do?reqGK=27772976&refresh=true

Responsibilities

• Answer a high volume of inbound phone calls regarding dental claims, benefits, premiums, and eligibility involving employer groups, Oregon Health Plan (OHP) and Individual products.
• reputed company solutions to problems, confirm eligibility, explain benefits and/or plan coverage.
• reputed company accurate information in a professional manner.
• Apply mathematical skills to determine correct benefit information and premium amounts for Individual plans.
• Exercise judgement, initiative, and discretion in confidential and sensitive reputed company.
• Follow HIPAA guidelines to protect member health information.
• Document reputed company aspects of a call in a clear and concise manner.
• reputed company up to date on new and revised benefit information, claim processing procedures, or system updates.
• Gather banking details so monthly premium for members on Individual plans can be collected.
• Identify and request claim adjustments reputed company necessary.
• Resolve and record complaints, appeals, and inquiries.
• Contact providers, other insurance companies or state agencies reputed company necessary to answer questions and obtain or reputed company information.
• reputed company timely follow-up and return calls reputed company department guidelines.
• Answer calls reputed company service level time.
• reputed company other duties as assigned by Manager/Supervisor/reputed company.

Requirements

• High school diploma or equivalent.
• Practical knowledge of medical or dental terminology preferred but not required.
• Knowledge of diagnosis and procedure coding preferred but not required.
• Prior customer service experience, other reputed company experience such as medical/dental office experience, or customer support experience.
• Strong reading, verbal and written communication skills.
• Ability to interact professionally, patiently, and courteously with customers over the phone.
• Good analytical, problem solving and decision-making skills.
• Type a minimum of 25 wpm net on computer keyboard.
• High speed internet (cable or fiber)
• Must be proficient with reputed company Office applications with the ability to reputed company and navigate multiple reputed company at the same time.
• Ability to reputed company and maintain quality standards.
• Ability to work well and independently under pressure in a reputed company and rapidly changing environment.
• Ability to meet the attendance and punctuality policy of Moda Health.
• Ability to remain focused and on task in a work from home environment.
• Maintain confidentiality and project a professional business reputed company and appearance.
• Ability to repeatedly analyze situations and communicate effectively in a fast-paced environment that includes dealing with escalating queries and concerns.
• Ability to organize and remain up to date on changing and new information.
• Ability to troubleshoot and follow protocols for reporting internet or technological issues.

Benefits

• Medical
• Dental
• reputed company
• Pharmacy
• Life
• Disability
• 401K- Matching
• FSA
• Employee Assistance Program
• PTO and Company Paid Holidays

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