Responds to basic telephone, electronic and written in from dental or vision professionals, groups, subscribers and brokers or customers Expediently accesses reference materials to analyze and determine appropriate response to telephone, electronic and written inquiries Communicates basic eligibility, benefits and claims status and forward specific inquiries as directed for priority resolution Accurately completes online, hard copy forms and route to the appropriate department Documents each customer encounter or resolution in the appropriate computer tracking system Obtains pertinent patient demographics and documents this information in the patient database when required Provides information for subscribers such as questions pertaining to insurance, billing, claims or eligibility Identifies, reports and documents system discrepancies Meets and maintains production standard, counts and inquiry response turnaround salary: $17.5 - $17.5 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High` SchoolResponsibilities Responds to provider calls and correspondences related to instructions on network participation, contract interpretation, contracted fees, resolution of complex claims and service issues, provider communications and provider terminations at point of contact. Educates and promotes the various Delta provider networks; drafts content for various collateral materials for distribution to network dentists; advises local Delta Dental member company PR staff on program changes, and quickly identifies trends in service issues and recommends course of action. Builds and maintains strong relationships with local Delta Dental member companies to achieve common goals; works to meet the local business needs as well as the Federal Services needs for recruitment and contracting of the PPO network. Assists with provider portal sign-on issues and resets passwords when necessary. Resolves 1099, EFT and ERA discrepancies with provider offices; verifies external data bases. SkillsHealth Insurance PoliciesHealthcare NetworkActivating Patient FilesHIPAAPatient Financial ServicesHealthcare System NavigationQualificationsYears of experience: 3 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.