OverviewPosition Summary: The Senior Community Partners/Insurance Specialist’s focus is to support the insurance services team in a variety of tasks to ensure the team functions in an efficient and effective manner. This position is key to keep up with insurance portal creation, EFT registrations, and the administration of the Community Partners program requests for service.ResponsibilitiesPosition Duties and Responsibilities :
Oversees the team responsible for portal and EFT registration and helps manage any vendors assisting with this task.
Data entry into Salesforce agency request information and Not to Exceed amounts.
Provide Community Partners information and explain the request process to all Affordable Dentures affiliated practices upon new openings and provider requests.
Approve requests received from agencies via Salesforce and notify agencies and practices within 24 hours.
Create insurance portals and complete EFT registrations on behalf of our affiliated clinics.
Assist team with sending out communications or any follow-up needed from payers or practice teams.
Assist with insurance password re-sets and maintaining passwords.
Assist with fee changes in Dentrix.
Perform other duties as new opportunities arise and/or as assigned.
QualificationsQualifications
Ability to interpret and effectively communicate insurance regulations.
Excellent verbal and written communication skills.
Ability to facilitate telephone, in-person, and/or web-based training sessions.
Excellent problem-solving skills.
Well organized, accurate, and thorough.
Adaptable; readily adjusts work schedule to adhere to changes in the work environment and is able to manage competing demands.
Adept at prioritizing, planning work activities, and developing reasonable action plans.
Proficiency in all Microsoft Office products.
Education and Experience Requirements:
Some college preferred.
Minimum 3 years of insurance experience; dental preferred.
Computer Skills:
Proficiency in a Microsoft Windows environment.
Proficiency with dental or medical software; Dentrix preferred.
Core Competencies: To perform the job successfully, an individual should demonstrate the following competencies to perform the essential functions of this position.
High level of customer service orientation.
Ability to assess development needs of affiliated auxiliary practice staff.
Knowledgeable in creating and presenting training course material.
Must possess strong skills in the areas of interpersonal communication, analysis, critical thinking, attention to detail, multi-tasking, and oral & written communication.
Excellent verbal and written communication skills.
Ability to work independently and collaboratively within a team environment.
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