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Dental Customer Service Representative

Company Name:
PacificSource Health Plans
Provide excellent customer service primarily by telephone to all PacificSource customers. Assist customers with coverage/claims related questions. Accurately interpret benefits and policy provisions for all PacificSource products. Conduct appropriate research and follow-up for prompt resolution of disputed claims.
1. Work efficiently in a high volume call center while maintaining a professional, polite manner.
2. Assist callers with coverage related questions; accurately interpret policy provisions per the dental contracts.
3. Analyze customers' inquiries and determine steps for resolution, interpret benefit information, and claims processing accuracy. Keep resource information up to date and organized.
4. Document calls in a clear and consistent manner in computer system.
5. Conduct appropriate research and follow-up for prompt resolution if disputed claims.
6. Relay information to appropriate departments and personnel using established communication channels and procedures.
Supporting Responsibilities:
1. Meet department and company performance and attendance expectations.
2. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
3. Perform other duties as assigned.
Work Experience: One year dental insurance or other dental office related field required. Prior customer service/call center experience preferred.
Education, Certificates, Licenses, Registration: High school diploma or equivalent required.
Knowledge: Computer Skills, typing, and 10-key required. Understand insurance and dental terminology, coding and standard dental billing practices required.
Competencies
Our Values
Building Customer Loyalty
Building Strategic Work Relationships
Continuous Improvement
Adaptability
Building Trust
Work Standards
Contributing to Team Success
Planning and Organizing
We are committed to doing the right thing.
We are one team working toward a common goal.
We are each responsible for customer service.
We practice open communication at all levels of the company to foster individual, team and company growth.
We actively participate in efforts to improve our many communities-internally and externally.
We encourage creativity, innovation, and the pursuit of excellence.
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately less than 5% of the time.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer
This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position.
PacificSource Health Plans is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, age.
Date: 2014-07-22
Country: US
State: OR
City: Springfield
Postal Code: 97477
Job Type: Regular Full-Time

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