at Beacon Hill Staffing Group in Naperville, Illinois, United States
Job Description
The Customer Experience Representative is responsible for providing service to the client base through effective verbal and written communication as well as troubleshooting and resolving all types of dental claim related inquiries.DUTIES & RESPONSIBILITIES:
- Understanding of dental terminology.
- Ability to use good judgment when applying dental knowledge when processing claims and handling client calls.
- Accurately respond to verbal and written inquiries and complaints directly from subscribers, providers, brokers, or group administrators.
- Accurately process claim adjustments during the phone call and/or during regular work time.
- Review and process claims according to established business rules that have failed computer program edits.
- Maintain and follow up on documents for all adjustment requests, check investigations, overpayment letters and e-forms.
- Complete and maintain daily log/forms/reports.
- Assist in new representatives' training.
- Accurately completes special projects assigned within specified time frames.
- Continued training in calls and claims with further progression based upon meeting performance requirements.
- Accesses EPHI following the current guidelines as established at the company- wide and department levels.
- Maintains regular attendance and punctuality.
- Performs other job-related duties as assigned.
- Ability to provide feedback to CS leadership or team members in order to contribute to one common goal.
- Strong customer service skills.
- Excellent oral and written communications skills.
- Strong computer keyboard skills and capable of working in an ACD environment with talk and work time goals.
- Knowledge of insurance reimbursement practices, i.e. processing policies, deductibles, maximums, Coordination of Benefits (COB) and dental terminology.
- Ability to work independently and execute multiple tasks simultaneously
- Excellent attendance and punctuality record.
- Strong organization skills and attention to detail.
- High School Diploma or Equivalent.
- Speak Spanish fluently
- Ability to review dental photos and x-rays and make diagnostic determinations based on provider claim narratives.
If you would like to complete our voluntary self-identification form, please click here or copy and paste the following link into an open window in your browser: https://jobs.beaconhillstaffing.com/eeoc/
Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for reporting purposes only and will be kept separate from all other records.
Company Profile:
Founded by industry leaders to set a new standard in search, career placement and flexible staffing, we deliver coordinated staffing solutions with unparalleled service, a commitment to project completion and success and a passion for innovation, creativity and continuous improvement.
Our niche brands offer a complete suite of staffing services to emerging growth companies and the Fortune 500 across market sectors, career specialties/disciplines and industries. Over time, office locations, specialty practice areas and service offerings will be added to address ever changing constituent needs.
Learn more about Beacon Hill Staffing Group and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.beaconhillstaffing.com .
We look forward to working with you.
Beacon Hill. Employing the Future (TM)
