Dental Claims Associate

nreca; Lincoln (NE); Hybrid; USD 49,000 - 58,000; Full time

Job summary

NRECA in Lincoln, Nebraska is seeking a Dental Claims Associate to help members navigate their dental benefits by analyzing claims and making benefit decisions.

The role emphasizes customer service, accuracy, and the ability to work in a hybrid schedule with remote work up to two days per week.

Candidates should have a high school diploma or GED, and healthcare claims experience; a business-related associate degree is preferred.

Qualifications

• High school diploma or GED required; associate degree preferred.
• Up to 12 months experience in health/dental claims processing.
• Telephone customer service experience.
• Knowledge of dental billing and codes is a plus.

Responsibilities

• Process and adjudicate dental claims according to plan provisions and company guidelines.
• Research, investigate, and resolve claim-related issues and discrepancies.
• Communicate with members and providers regarding coverage, eligibility, and claim determinations.
• Respond to inquiries through phone and written correspondence while providing excellent customer service.
• Ensure accuracy, quality, and productivity standards are consistently met.
• Prioritize and manage multiple tasks in a fast-paced, deadline-driven environment.
• Utilize analytical thinking and attention to detail to make sound benefit determinations.

Skills

Interpersonal skills

Customer service

Communication skills

Attention to detail

Microsoft Office

Education

High school diploma or GED

Associate degree in a business-related field

Tools

Microsoft Office

Job description

Job Description

Dental Claims Associate

Location: Lincoln, Nebraska

Join a Mission-Driven Organization

We\'re seeking someone who is detail-oriented, adaptable, and passionate about customer service to join our Medical and Dental Claims Department team in Lincoln, NE.

We\'re proud to be named one of Lincoln\'s Best Places to Work -and we\'re looking for people who care deeply about helping others and want to grow with a mission-driven organization.

About NRECA

NRECA is the national trade association representing more than 900 consumer-owned electric cooperatives across the United States. We provide advocacy, financial services, and business solutions that help over 900 consumer-owned electric cooperatives across the country serve their communities and we operate with integrity, transparency, and a spirit of innovation.

The work in the Insurance & Financial Services department (I&FS) is dynamic and intellectually challenging, engaging, and deeply impactful. They work to develop and administer employee benefit plans and services which are diverse and the results help improve the quality of life for hard working Americans across the country. They foster a culture that emphasizes a strong sense of diversity, integrity, and belonging, driven by NRECA\'s core values like communication, creative problem-solving, collaboration and accountability. If you\'re motivated by purpose, enjoy variety, and care about people and outcomes, this is the team for you.

Position Summary

As a Dental Claims Associate, you\'ll help members navigate their dental benefits by analyzing claims, making benefit decisions, serving as a trusted resource for members and providers and delivering exceptional member service while meeting productivity and quality standards.

The work schedule is 8:15 a.m. to 5:00 p.m. and the p osition is eligible for NRECA\'s hybrid schedule which allows flexibility to work from home up to 2 days per/week.

Key Responsibilities

• Process and adjudicate dental claims according to plan provisions and company guidelines.
• Research, investigate, and resolve claim-related issues and discrepancies.
• Communicate with members and providers regarding coverage, eligibility, and claim determinations.
• Respond to inquiries through phone and written correspondence while providing excellent customer service.
• Ensure accuracy, quality, and productivity standards are consistently met.
• Prioritize and manage multiple tasks in a fast-paced, deadline-driven environment.
• Utilize analytical thinking and attention to detail to make sound benefit determinations.

Qualifications

Education, Experience, and Certifications (required and preferred)

Required Education

High school diploma or GED

Preferred Education

Associate degree in a business-related field

Required Experience

• Up to 12 months experience in claims processing working with health/dental insurance plans or in a healthcare/dental billing office.
• Telephone customer service experience.

Preferred Experience

• Dental office experience with exposure to dental billing and/or handling the billing of dental claims, and/or verifying dental benefits with the insurance company.
• Knowledge of dental codes, desired

Knowledge, Skills and Abilities (as demonstrated by prior work experience)

• Knowledge of medical insurance plans and healthcare benefits.
• Strong interpersonal skills and member service orientation.
• Excellent customer service and communication skills.
• Ability to manage multiple priorities with attention to detail.
• Proficiency with Microsoft Office applications.
• Ability to report to the office when required.

Essential Physical Requirements

• Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job.
• Primarily sedentary work with extended periods of sitting.
• Visual acuity is sufficient for computer work and data analysis.
• Manual dexterity for frequent keyboard use.
• Occasional light lifting (up to 10 lbs).
• Effective communication in person, by phone, and via email.

Salary Range: $49,000 - $58,000

Final Compensation determined by individual qualifications, experience, and internal equity.

Disclaimer Statement: The preceding job description has been written to reflect management\'s assignment of essential functions. It does not prescribe or restrict the tasks that may be assigned.

Additional Requirement:

The preceding job description has been written to reflect management\'s assignment of essential functions. It does not prescribe or restrict the tasks that may be assigned. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.

NRECA is committed to working with and providing reasonable accommodation to individuals with physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, pleas