At Delta Dental, we have a passion for making people smile. And every day, our employees work to make that passion come to life. We have been in existence since 1982 and have been voted Arkansas' Best Places to Work for eight years in a row. We are looking for a member of our team who is passionate about our mission to improve the oral health of Arkansans and ready to make a difference.
We have four core values that we stand by at Delta Dental of Arkansas:
We believe in supporting our employees through a multitude of fantastic benefits:
Job Summary: Processes claims that have suspended for focus review or require a correction to the benefit payment amount.
Primary Job Responsibilities:
1. Processes all suspended claims where the resolution involves research of history claims and treatment determination for professional review.
2. Works closely with dental consultants toward finalization of claim.
3. Focuses on the processing of Wal-Mart dental review claims.
4. Reviews claims requiring system overrides.
5. Cooperates with other departments, e.g., Call Center, Marketing, correcting claims that initially denied in error.
6. Ensures financial and claim payment accuracy of claims processed.
7. Monitor and ensure claims age does not exceed group guarantees.
Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.
Minimum Qualifications:
Will accept any suitable combination of education, training or experience. Position requires a high school diploma or GED, 1 year of insurance operations or data entry experience, intermediate experience working with 10-key and basic experience working with alphanumeric data entry and spreadsheet software.
Employees are to adhere to department and corporate policies and procedures, serve internal and external customers and support the goal of other departments and the company.
At Delta Dental of Arkansas, we understand that so much of having a healthy life depends on having a healthy smile. We work every day to inspire a new level of oral health across the state in two meaningful ways. First, through quality insurance that provides access to one of the largest network of dentists in Arkansas1. We want to ensure our members in both our commercial and Medicaid programs get the right care for themselves and their families. Second, we look to make a difference beyond the walls of our business. Our philanthropic corporate and foundation work benefits and reaches all Arkansans – even those who aren’t members. We treat everyone with the respect and caring attention needed to make Arkansas healthier, one smile at a time.