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Dental Network Service Specialist

Miami, FL 33126

Category: Professional Job Number: 16123

 

Voca has an immediate opening available for a Dental Network Service Specialist in Miami, FL! If you are interested, please forward your resume to Elizabeth Merrill at emerrill@myvoca.com and call me directly at 952-303-8123

Position Details 

Job Description

The Dental Network Service Specialist works directly with our Provider Network to develop and strengthen relationships. Educating our providers on the value of participating in the Humana Dental Network and creating a mutual professional relationship with those providers, is key to the growth of the Network. The ability to create an “easy to do business with” environment for the providers is a key function of this role.

  • Work with third party administrator/rental partners on credentialing and re-credentialing projects.
  • Work with claims unit to identify and assist in claim resolutions for providers on all systems
  • Educate Provider Offices/Rental Partners on all existing and new products and plans
  • Provide support to Provider Offices/Rental Partners on all maintenance and service issues
  • Assist with member/provider disputes and provide assistance to SIU and G&A
  • Assist Provider Offices/Rental Partners with any contract issue.
  • Work proactively with offices regarding fee schedule and financial incentive discussions.
  • Work with Rental Partners to assure cost saving measures have been met.
  • Add/Term locations, associates and products to existing provider relationships
  • Provide support with new product rollouts and assist in re-contracting efforts
  • Process terminations of providers
  • Significant knowledge of Humana’s Dental & Vision platforms.
  • Detailed oriented.
  • Proactive thought leadership/Root Cause problem resolution skills.
  • Excellent oral and written communication skills.
  • Ability to multi-task, manage multiple projects, and meet deadlines.
  • Desire to learn and advance.

Job Specific Details

  • $18.00/Hour

Qualifications

  • 3-4 years experience in the Health Care industry
  • Customer Care / Service Experience

Benefits

Partnering with Voca Professionals comes with a number of benefits including:

  • Dedicated Recruiter
  • Insurance
  • 401k
  • Competitive, Flexible Pay Packages

Elizabeth Merrill
Voca | Senior Recruiter
t 507-288-5260 d 952-303-8123
myvoca.com
Connect with me on LinkedIn

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Elizabeth Merrill

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