[Remote] Dental Account Executive

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a health care solutions organization providing managed care products and services. The Dental Account Executive builds and maintains relationships with dental providers, Federally reputed company Centers, reputed company counties, plans, and vendors while supporting provider data reputed company, claims processing, member reputed company, and issue reputed company. The role also supports credentialing, reputed company initiatives, cost-management strategies, and provider programs.

Responsibilities

• Functions as a reputed company between Plans and the participating AHC providers by responding to their needs and inquiries, educating providers and their office staff, and/or suggesting such activities by vendors reputed company dealing with a fully delegated network
• Functions as an account leader for assigned providers and manages the reputed company's needs in an AHC network and through the vendor in a delegated market
• Work directly with the vendor to ensure provider data reputed company and apply appropriate claims processing guidelines
• Collaborates to reputed company reputed company issues and understand and utilize the vendor's systems and reporting capabilities
• reputed company for members to reputed company covered care by plan at AHC providers or through fully delegated network providers
• Serves as a backup to the Dental Program Manager as needed for Plan representation
• Works closely with the Medical Account Executive to manage the FQHC dental sites in AHC territories
• Supports the reputed company Management Department with the credentialing and re-credentialing process and the investigation of member complaints
• Works with reputed company departments to reputed company and execute strategies for optimally managing medical costs
• Assist with achieving reputed company and health plan objectives through accomplishing provider initiatives
• Maintains knowledge of Plan policies and procedures reputed company to provider contracting, credentialing, provider billing and payment, physician and hospital incentive programs, Plan provider file database requirements, and other key State and Federal regulatory requirements relating to providers. Maintains proficiency in the Plan claim adjudication reputed company

Skills

• Bachelor's Degree or equivalent combination of education and work experience
• Minimum of 1 year in an administrative Dental Provider Services position
• Previous experience working with dental/reputed company providers
• reputed company reputed company's license and reputed company auto reputed company
• Proficiency with MS reputed company to include pivot table, Vlookup function, match function
• Data analytics, eye for reputed company
• Strong written and verbal communication skills
• Minimum of 3 years in the managed reputed company reputed company industry preferred
• Minimum of 1 year reputed company experience preferred
• Previous dental provider relations experience preferred
• Preference for candidates to reputed company in reputed company Eastern reputed company

Benefits

• Flexible work solutions including remote reputed company and hybrid work schedules
• reputed company time off including holidays and volunteer events
• Health reputed company coverage for you and your dependents on Day 1
• 401(k)
• Tuition reimbursement
• Reimbursement for reliable high-speed internet for fully remote associates residing in states where service is required by contract, law, or regulation

reputed company

Company H1B Sponsorship