Provider Records Advisor

Delta Dental Plan of Michigan, Inc.; Michigan; Remote; USD 42,000 - 54,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Disability insurance

Life insurance

401(k) savings plans

Flexible spending accounts

Tuition reimbursement

Annual incentive compensation

Volunteer time

Job summary

Delta Dental of Michigan, Ohio, and Indiana is seeking a Provider Records Advisor in Michigan. The role involves handling provider records, responding to inquiries, setting up EFTs, and updating credentialing information.

Candidates must reside in Michigan within a reasonable commuting distance of Okemos for team meetings and training. The organization emphasizes community health and equality, with a comprehensive benefits package and a culture described as All In, supporting colleagues and

Qualifications

• High school diploma or equivalent required.
• Two years of office experience.
• Typing test and data entry requirements completed within past 12 months.

Responsibilities

• Responds to provider inquiries regarding records and network agreements.
• Handles EFT records and credentialing updates.
• Researches provider information using NPF and other resources.
• Processes claims and operates standard office equipment.

Skills

Data entry

Typing speed 40 cpm

Office software

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

Job Title

Provider Records Advisor

Number of Positions

1

Location

DDMI_Michigan

Location Specifics

Fully Remote

Job Summary

Candidates must reside in Michigan within a reasonable commuting distance of our Okemos office for team meetings, collaborative sessions, and training. At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation. At Delta Dental, we celebrate our All In culture. It’s a mindset, feeling and attitude we wrap around all that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community.

TYPICAL ASSIGNMENTS

• Responds to written and telephone inquiries, using proper etiquette, from providers regarding their records and network agreements
• Responds to provider questions, including specialty agreements and W-9 information
• Establishes electronic funds transfers (EFT) records when appropriate
• Establishes and maintains departmental records and files, including initial credentialing and business or provider updates
• Researches and resolves inquiries by accessing the provider, National Provider File (NPF), and other resources
• Processes claims assigned to the Provider Records worklist
• Operates office equipment which may include personal computer, photocopier, scanner, calculator, fax, etc.

Minimum Requirements

• Possess a high school diploma or equivalent
• Two years of work experience in an office environment
• Ability to begin work at 7:30 a.m. or be required to work until 5:00 p.m. (rotating basis)
• Successful completion of a data entry test sponsored by Human Resources within the past 12 months / 5,500 keystrokes per hour with 95% accuracy (test waived if candidate currently holds or has previously held a CRT Operator position)
• Successful completion of a typing test administered by Human Resources within the past 12 months with a typing speed of 40 correct words per minute (minimum of 90% accuracy) (test waived if candidate currently holds a position that requires at least 40 correct words per minute.)

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.

Company Information

Delta Dental of Michigan, Ohio, and Indiana has been a dental benefits leader for more than 60 years, and today with our affiliates, we are one of the largest dental plan administrators in the country. It’s our mission to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by making investments that build healthy, smart, vibrant communities. We celebrate diverse thought and foster a culture where employees go All In – for the company, themselves, their colleagues and their communities.

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Short- and long-term disability
• Life insurance
• 401(k) savings plans
• Flexible spending accounts
• Tuition reimbursement or educational assistance
• Annual incentive compensation based on annual business goals
• Eight hours of paid volunteer time each year
• Access to an on-staff health coach and personal trainer
• Plus many other perks

Delta Dental is an Equal Opportunity Employer.