Remote Care Coordinator – Dental & Vision Benefits

PrimeCare Benefits Group, Inc.™; Las Vegas (NV); Remote; USD 25,000 - 36,000; Full time

Job summary

PrimeCare Benefits Group is seeking a dependable Care Coordinator for a remote role with occasional onsite attendance. You will be the primary contact for members and providers, handling dental and vision benefit inquiries, eligibility verification, referrals, and authorizations.

The ideal candidate excels in communication, is detail-oriented, and can manage multiple tasks in a fast-paced environment while maintaining accuracy and professionalism.

Qualifications

• High school diploma or equivalent.
• Strong verbal and written communication skills.
• Excellent customer service and problem-solving abilities.
• Strong organizational skills and attention to detail.
• Ability to multitask and navigate multiple computer systems simultaneously.
• Proficiency in Microsoft Office and general computer applications.
• Ability to work independently, manage time effectively, and meet performance expectations in a remote environment.
• Reliable internet connection and a quiet, professional workspace.

Responsibilities

• Answer incoming calls from members, providers, and office staff regarding dental and vision benefit plans.
• Assist callers with eligibility verification, benefit coverage, referral status, authorization status, and general plan questions.
• Provide friendly, professional, and accurate customer service.
• Research and resolve inquiries efficiently, escalating complex matters when necessary.
• Maintain thorough and accurate documentation of all interactions.
• Accurately review, enter, and process dental and vision referrals and authorization requests.
• Ensure all referrals and authorizations are processed within 48 hours of receipt.
• Review submitted information for completeness and accuracy.
• Coordinate with internal departments to resolve eligibility, claims, and authorization concerns.
• Follow established procedures to ensure timely processing and compliance.
• Meet established productivity, accuracy, and customer service standards.
• Support call center performance goals, including an abandonment rate below 3% and an average speed to answer of less than 30 seconds.
• Maintain professional communication with members, providers, and colleagues.
• Protect confidential member information and comply with HIPAA requirements.
• Participate in team meetings, training sessions, and ongoing professional development.

Skills

Customer service

Verbal communication

Written communication

Organizational skills

Multitasking

Independent work

Remote work

HIPAA awareness

Education

High School Diploma

Tools

Microsoft Office

Remote collaboration tools

Job description

PrimeCare Benefits Group is seeking a dependable Care Coordinator for a remote role with occasional onsite attendance. You will be the primary contact for members and providers, handling dental and vision benefit inquiries, eligibility verification, referrals, and authorizations.

The ideal candidate excels in communication, is detail-oriented, and can manage multiple tasks in a fast-paced environment while maintaining accuracy and professionalism.