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Robert Half Provider Administration Specialist in Atlanta, Georgia

Description

ONLY CANDIDATES RESIDING IN THE ATLANTA, GA METRO AREA WILL BE CONSIDER FOR THIS POSITION. Are you a skilled Provider Administration Specialist looking for an exciting opportunity to showcase your talents? We're seeking a highly motivated individual to join our team in a fully remote capacity. However, candidates must reside in the Atlanta, GA metro area. As a Provider Administration Specialist, you'll play a crucial role in maintaining the integrity of provider information within our enterprise systems. This role requires meticulous attention to detail and exceptional organizational skills. To excel in this position, candidates must furnish their own Equipment, including a Windows 10 Laptop or CPU (no Chromebooks, preferably no Macs) with a 2.0 GHz process speed and 8.0GB or more DDR2 RAM. Additionally, a reliable internet connection with Download Speed: 50mbps and Upload Speed: 25mbps is essential. Proficiency with Internet Explorer 7.0 or higher is required, and 2 monitors are recommended for optimal productivity. If you're ready to take your career to the next level and make a meaningful impact, apply now!

Essential Duties and Responsibilities:

  • Maintain the integrity of an electronic database, handling various tasks including business name changes, tax ID changes, termination of dental contracts, change of ownership, business splits, sale of practices, adding additional associates, license changes, dental specialty changes, updated contract information, and provider directory assistance

  • Plan, prioritize, organize, and complete work to meet established objectives.

  • Collaborate individually or within a team to solve complex problems related to provider servicing.

  • Act as a technical resource to others in the function when necessary.

  • Manage various workflow queues for claims where address or tax identification number conflicts with provider file data.

  • Handle escalated calls from client groups and conduct outgoing calls to dental offices.

  • Resolve 1099 tax discrepancies with provider offices, verifying information with external databases.

  • Run queries, generate monthly reports, and handle credentialing document verification requests.

  • Screen provider enrollment packets for missing information and request necessary details from the provider.

  • Perform other miscellaneous duties as assigned.

    Requirements

Core Competencies/Knowledge Skill Requirements:

  • Organizational/time management skills and multi-tasking abilities.

  • Strong written, verbal, interpersonal, and phone skills.

  • Detail-oriented with mathematical reading and comprehension skills.

  • Knowledge of Current Dental Terminology (CDT) codes and dental nomenclature.

  • Ability to type 40 words per minute with no more than two errors.

  • Knowledge of the company's claims processing systems, claims flows, and adjustment notices.

  • Must be flexible to work any shift and willing to work overtime as needed based on business needs.

Education, Experience, Training Required:

  • A high school diploma or GED, but candidates with proven experience will not be excluded from consideration.

  • A minimum of 2 years related experience in Managed Care or Medical/Dental Insurance.

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

© 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https:///www.roberthalf.com/us/en/terms) .

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