Dental Call Center Specialist - Dental Services - Full Time - Days

Paramount Dental offers insurance products in Indiana, Kentucky and Ohio and pays claims in all 50 states. This Ohio- and Indiana-based company has been specializing in providing dental benefits to individuals since 1988.

Paramount Dental offers dental and vision plans to businesses of all sizes, participates in the Marketplace Exchange and serves thousands of Medicare members through partnerships with health plans throughout the United States. The company, originally founded by dentists, focuses on providing its clients with products that work to improve their overall health.

As a part of ProMedica, Paramount Dental is driven by ProMedica's mission to improve your health and well-being. ProMedica has been nationally recognized for its advocacy programs and efforts to address social determinants of health. Paramount Dental strives to provide an exceptional experience to every member.

REPORTING RELATIONSHIPS

Position reports to Team Lead and does not have any direct reports.

POSITION SUMMARY

The Call Center Specialist provides high-level customer service and effectively communicates with existing and prospective clients (dentists, members, agents, and employer groups) regarding claims, enrollment, and benefit service support.

ACCOUNTABILITIES

• Manages multi-line phone system

• Provides excellent customer service support by taking client information, and responding to questions regarding claims, enrollment, and benefits information.

• Proactively seek solutions and problem-solve to resolve client issues relating to plan information, enrollment, and client material.

• Responsible for communicating guidance and directions to assist members in navigating benefit information online including directing clients to company website to verify enrollment, benefit coverage, and how to submit claims/pretreatments.

• Communicate website capabilities efficiently and innovatively.

• Collaborate with other call center representative to improve customer service

• Other duties as assigned.

Job Requirements

REQUIRED QUALIFICATIONS

Education: High school diploma or equivalent

• Skills: Must have excellent interpersonal skills necessary to communicate effectively with callers, members, physicians, and other providers. Experience using Microsoft Windows and Microsoft Office programs is required. Demonstrated typing competency (minimum of 40 wpm). Must possess good organizational and priority-setting skills and exercise independent judgment with minimal guidance and supervision. Team-oriented and self-motivated with the ability to effectively prioritize and execute tasks in a high-pressure environment.

Years of Experiences: One to two years of call center experience or comparable experience

License: NA

Certification: NA

PREFERRED QUALIFICATIONS

Education: High School Diploma or GED required

Skills:

• Strong knowledgebase of dental billing office practices, including practice management computer system experience

• Demonstrate knowledge of ADA/CDT coding regulations and requirements Basic knowledge of insurance regulations.

• Fluent in Spanish Language

Years of Experience: Minimum of two years' experience in telephone sales or telephone-based customer service or comparable experience

License: NA

Certification: NA

WORKING CONDITIONS

Personal Protective Equipment: NA

Physical Demands:

• Sitting for extended periods

• Dexterity of hands and fingers to operate a computer keyboard, mouse, and phone for data entry

The above list of accountabilities is intended to describe the general nature and level of work performed by the incumbent; it should not be considered exhaustive.

ProMedica is a mission-based, not-for-profit integrated healthcare organizational headquartered in Toledo, Ohio. For more information, please visit www.promedica.org/about-promedica

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact employment@promedica.org

Equal Opportunity Employer/Drug-Free Workplace

Employee Exemption Type

Non-Exempt

Job Type

Full Time

Budgeted Hours / Pay Period

80

Shift Type

Days

Shift Hours

8 hours

Weekends

On-call Requirements

Additional Schedule Details