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Job Title: Dental Coordinator
Job Location: NY: New York City
Pay Rate: Open
Job Length: full time
Start Date: 2008-08-02

Company Name: GHI
Contact: Recruiter
Phone: email only please
Fax: email only please

Description: Dental Coordinator COMPANY: GHI LOCATION: 34th Street

HOURS:

DEPT:

Description of Duties Establish and maintain the integrity of the Dental Provider file on the Fastrak system. * Ensure timely turnaround time for processing of new dental network contracts * Ensure timely turnaround time for researching claim kickouts from Claims Operations an processing associated provider files * Ongoing analysis of dental provider file data to reflect accurate information to ensure claims are paid properly, provider checks are delivered to the proper locations and our provider directories are accurate * Update and maintain accuracy of provider file work flow documents and provider file stylebook * Monitor the provider files and initiate focused audits as requested by Sr. Management to ensure contractual compliance. Make recommendations to management for resolutions of identified issues * Represent our company to the provider community and serve as the primary contact for responses to request related to provider file audits * Ensure timely turnaround time for network termination requests.

Requirements Knowledge Skills & Abilities: * Effective written and verbal communication skills * Ability to recognize and determine business course of action with decisiveness * Strong analytical and organization skills with attention to detail * Excellent customer service skills with demonstrated ability to build successful working relationships (internally and externally) * Bachelors degree. * Two years in the managed care industry with specific focus on the PPO environment with additional experience in dental benefits and/or dental-specific knowledge is preferred * Knowledge of claims processing and newer technologies such as electronic claims and electronic attachments * Demonstrated the ability to work independently, taking on the responsibility of completing the required job actions while showing the ability to work with the team * Proficient in Microsoft (Word, Excel. PowerPoint)

Please refer to Job code ghi-1765 when responding to this ad.

For FASTEST PROCESSING of your resume, please visit http://www.jobcircle.com/classifieds/1578211.html?source=ng to apply online.

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