Remote Dental Benefits Advocate

Conduent Commercial Solutions, LLC; United States; Remote; USD 33,000 - 34,000; Full time

Benefits offered by this job

Health insurance

Dental and vision programs

Life and disability insurance

Retirement savings plan

Paid holidays

Job summary

Conduent Commercial Solutions, LLC is seeking a Remote Call Center Representative to handle inbound inquiries regarding dental benefits for Commercial and Medicare plans. The role emphasizes accurate benefit interpretation, issue resolution, and documentation within the billing system.

You will navigate multiple systems and aim to meet monthly performance metrics. The position requires at least a high school diploma and 1 year of call center or in-person customer service experience, with

Qualifications

• High school diploma, GED, or college degree.
• At least 1 year of call center experience preferred.
• 1 year of face-to-face customer service experience.
• Knowledge of Dental/Medical/Managed Care industry preferred.
• Strong written and verbal communication; multitasking and problem solving.

Responsibilities

• Respond to inbound inquiries regarding dental benefits, eligibility, claims, appeals, grievances, and provider searches for both Commercial and Medicare plans.
• Provide uniform interpretation and clarification of dental benefits, policies, and procedures to members, providers, and employer groups.
• Investigate issues, contact appropriate parties, and document interactions in the billing system.
• Investigate verbal complaints regarding billing, claims, or services; escalate as needed.
• Retrieve and send written correspondence, plan brochures, and provider directories.
• Meet or exceed call volume and quality performance goals.

Skills

Communication skills

Phone communication

Analytical thinking

Team player

Customer service mindset

Education

High school diploma or higher

Tools

Microsoft Word

Microsoft Outlook

Internet Explorer

Job description

Conduent Commercial Solutions, LLC is seeking a Remote Call Center Representative to handle inbound inquiries regarding dental benefits for Commercial and Medicare plans. The role emphasizes accurate benefit interpretation, issue resolution, and documentation within the billing system.

You will navigate multiple systems and aim to meet monthly performance metrics. The position requires at least a high school diploma and 1 year of call center or in-person customer service experience, with