Customer Service Government Programs Training and Support Specialist – Empowering Smiles, Enhancing Lives at blithequark
At blithequark, we are dedicated to revolutionizing the way people experience oral health and wellness. As a leading dental plan administrator, we strive to create a culture of excellence, innovation, and community involvement. Our mission is to improve oral health through benefit plans, advocacy, and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities.
We are seeking an exceptional Customer Service Government Programs Training and Support Specialist to join our team in Farmington Hills, MI. This hybrid position requires a unique blend of technical expertise, exceptional communication skills, and a passion for delivering exceptional customer experiences. If you are a motivated and detail-oriented professional with a background in dental assisting, dental hygiene, or a related field, we encourage you to apply.
Job Summary:
As a Customer Service Government Programs Training and Support Specialist, you will play a critical role in ensuring the accuracy and efficiency of our benefits administration processes. You will provide day-to-day support to internal and external customers, resolving complex claims, inquiries, grievances, and appeals. Your expertise will be instrumental in developing and conducting training programs for our Government Programs department employees, ensuring they have the knowledge and skills necessary to excel in their roles.
Primary Job Responsibilities:
* Serve as primary CSR support to assist with detailed interpretation of dental policies, procedure codes, claims processing, Medicare Advantage/Medicaid compliance guidelines, and policies and procedures.
* Research, analyze, adjudicate, and make appropriate determinations on difficult claims and inquiries.
* Develop, coordinate, and conduct new-hire onboarding and training, as well as periodic refresher and training on new functionality and processes.
* Research and implement training programs using various methods of instruction.
* Identify, create, and maintain government programs training and support specialist processes and procedures.
* Prescreen claims and inquiries for the Professional Review and Focused Review departments.
* Communicate with other departments to identify and troubleshoot potential processing and/or system issues.
* Collaborate with department management, quality assurance specialists, and reporting specialists to identify process improvements, department trends, and training needs.
* Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.
Minimum Requirements:
* One year of college, technical, vocational, or business school with coursework in dental assisting or dental hygiene, business administration, and composition.
* Two years of related work experience.
* Previous Medicare and/or Medicaid experience is preferred.
* Will accept any suitable combination of education, training, or experience.
* Intermediate knowledge of word processing and spreadsheets.
* Knowledge of dental terminology, procedures, insurance products, and claims processing.
* Knowledge of procedure writing and training content development.
* Ability to analyze and resolve complex problems.
* Ability to identify, research, and resolve customer complaints/issues.
* Ability to handle multiple projects and deadlines and multitask.
* Excellent verbal and written communication and organization skills.
* Ability to work independently and make informed decisions quickly.
* Ability to work flexible hours, including some weekends.
What We Offer:
At blithequark, we are committed to providing a comprehensive benefits package that includes:
* Medical, dental, and vision coverage
* Short- and long-term disability
* Life insurance
* 401(k) savings plans
* Flexible spending accounts
* Tuition reimbursement or educational assistance
* Annual incentive compensation based on annual business goals
* Eight hours of paid volunteer time each year
* Access to an on-staff health coach and personal trainer
* Many other perks
Why Join Our Team:
At blithequark, we celebrate diverse thought and foster a culture where employees go All In – for the company, themselves, their colleagues, and their communities. We are committed to creating a workplace that is inclusive, supportive, and empowering. If you are passionate about making a difference in the lives of others and are looking for a challenging and rewarding career opportunity, we encourage you to apply.
How to Apply:
If you are a motivated and detail-oriented professional with a background in dental assisting, dental hygiene, or a related field, we encourage you to apply for this exciting opportunity. Please submit your application through our website at [insert link]. We look forward to reviewing your application and learning more about your qualifications.
Equal Employment Opportunity:
blithequark is an Equal Opportunity Employer. We are committed to creating a workplace that is inclusive, supportive, and empowering. We celebrate diverse thought and foster a culture where employees go All In – for the company, themselves, their colleagues, and their communities. We are proud to be an employer of choice for individuals from all backgrounds and perspectives.
Contact Us:
If you have any questions or would like to learn more about this opportunity, please do not hesitate to contact us. We look forward to hearing from you and exploring how you can contribute to our mission to improve oral health and wellness.
Thank you for considering this exciting opportunity to join our team at blithequark. We look forward to reviewing your application and learning more about your qualifications.
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