Dental Network Advocate & Provider Liaison

Careington International; Frisco (TX); On-site; USD 42,000 - 54,000; Full time

Job summary

Careington International in Frisco, TX is seeking a motivated professional to support providers, members, and assigned clients via phone and written correspondence. You will handle inquiries, resolve billing and quality-of-care issues, and collaborate with compliance to address escalated cases.

Strong MS Office skills and insurance knowledge are required. Ideal candidates will communicate clearly, manage multiple tasks, and maintain professional phone demeanor.

Qualifications

• Proficient with MS Office Suite: Word, Excel, Outlook, Acrobat.
• Strong phone experience with inbound calls.
• Dental or medical insurance industry knowledge is a plus.

Responsibilities

• Act as liaison between providers, members and assigned clients.
• Answer calls from providers and handle inquiries in real time.
• Resolve provider calls to achieve one-call resolutions when possible.
• Contact provider offices to resolve member billing and quality-of-care grievances.
• Negotiate refunds from providers on behalf of members when overbilling occurred.
• Draft professional resolution letters for member inquiries.
• Educate provider offices on plan administration and participation over the phone.
• Assist in creating and distributing educational materials to the network.
• Audit offices for participation and plan administration.
• Collaborate with compliance on escalated issues as needed.
• Maintain thorough knowledge of Careington's Network Development functions.

Skills

Self-motivation

Problem solving

Conflict resolution

Time management

Communication skills

Phone etiquette

Tools

MS Office Suite

Job description

Careington International in Frisco, TX is seeking a motivated professional to support providers, members, and assigned clients via phone and written correspondence. You will handle inquiries, resolve billing and quality-of-care issues, and collaborate with compliance to address escalated cases.

Strong MS Office skills and insurance knowledge are required. Ideal candidates will communicate clearly, manage multiple tasks, and maintain professional phone demeanor.