Provider Records Advisor

Delta Dental Plan of Michigan, Inc.; United States; Remote; USD 36,000 - 48,000; Full time

Job summary

Delta Dental of Michigan, Ohio, and Indiana is seeking a Provider Records Advisor to manage provider inquiries, credentialing updates, and EFT setup in a fully remote capacity. The role requires residence in Michigan for occasional in-person meetings and training at our Okemos office.

The position supports our mission to improve oral health through comprehensive benefit plans and community initiatives. Strong data-entry and office skills are essential for success in this role.

Qualifications

• High school diploma or equivalent.
• Two years of work experience in an office environment.
• Ability to start work at 7:30 a.m. or work until 5:00 p.m. on a rotating basis.
• Successful completion of a data entry test within the past 12 months: 5,500 keystrokes per hour with 95% accuracy (test waived if candidate has CRT Operator experience).
• Successful completion of a typing test within the past 12 months: 40 words per minute with 90% accuracy (test waived if current position requires 40 wpm).
• Company provides equal employment opportunity regardless of protected status.

Responsibilities

• Responds to written and telephone inquiries from providers regarding their records and network agreements.
• Responds to provider questions, including specialty agreements and W-9 information.
• Establishes EFT records when appropriate.
• Maintains departmental records and files, including initial credentialing and provider updates.
• Researches and resolves inquiries by accessing provider records and NPF and other resources.
• Processes claims assigned to the Provider Records worklist.
• Operates office equipment such as PC, photocopier, scanner, calculator, and fax.

Skills

Data entry

Administrative skills

Customer service

Education

High School Diploma or equivalent

Tools

Typing test

Data entry test

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.

#LI-Remote

Minimum Requirements

Bidding 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.