At careerzynith, we're dedicated to improving oral health through benefit plans, advocacy, and community support. As a leading dental plan administrator, we're part of the careerzynith Plans Association, which operates two of the largest dental networks in the nation. Our mission is to build healthy, smart, vibrant communities for all, and we're looking for talented individuals to join our team.

Job Highlights:

*

Position:

Customer Service Government Programs Training and Support Specialist

Start Date:

Immediate openings available

Company:

careerzynith

Compensation:

A competitive salary

Location:

Remote

Job Summary:

As a Customer Service Government Programs Training and Support Specialist at careerzynith, you'll play a critical role in providing day-to-day support to internal and external customers by resolving difficult claims, inquiries, grievances, and appeals. You'll analyze contacts to ensure accuracy, develop and conduct training programs, and collaborate with department management to identify process improvements and training needs.

Primary Job Responsibilities:

* Serves 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.

• Researches, analyzes, adjudicates, and makes appropriate determinations on difficult claims and inquiries.
• Develops, coordinates, and conducts new-hire onboarding and training, as well as periodic refresher and training on new functionality and processes.
• Researches and implements training programs using various methods of instruction.
• Identifies, creates, and maintains government programs training and support specialist processes and procedures.
• Prescreens claims and inquiries for the Professional Review and Focused Review departments.
• Communicates with other departments to identify and troubleshoot potential processing and/or system issues.
• Collaborates with department management, quality assurance specialists, and reporting specialists to identify process improvements, department trends, and training needs.
• Performs other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

Minimum Requirements:

* Position requires 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 are required.
• Previous Medicare and/or Medicaid experience is preferred.
• Will accept any suitable combination of education, training, or experience.

Essential Skills and Competencies:

* 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.

Work Environment and Company Culture:

At careerzynith, we celebrate our All In culture, which is a mindset, feeling, and attitude we wrap around all that we do. We encourage innovation, empower employees to take charge of their careers, and celebrate diverse thought. Our employees go All In for themselves, their colleagues, the company, and our communities. We offer a comprehensive benefits package, including medical, dental, and vision coverage, short- and long-term disability, life insurance, 401(k) savings plans, flex spending accounts, and tuition reimbursement or educational assistance.

Career Growth Opportunities and Learning Benefits:

At careerzynith, we're committed to helping our employees grow and develop their careers. We offer training and development opportunities, including on-the-job training, mentorship programs, and access to industry-leading resources and tools. Our employees are encouraged to take ownership of their careers and pursue opportunities that align with their interests and goals.

Compensation, Perks, and Benefits:

careerzynith offers a competitive salary, comprehensive benefits package, and a range of perks and benefits, including:

• Medical, dental, and vision coverage
• Short- and long-term disability
• Life insurance
• 401(k) savings plans
• Flex spending accounts
• Tuition reimbursement or educational assistance
• Eight hours of paid volunteer time each year
• Access to an on-staff health coach and personal trainer
• Virtual lunchtime workouts hosted by the trainer
• On-site fitness center

How to Apply:

If you're a motivated and detail-oriented individual with a passion for customer service and government programs, we want to hear from you! Apply today and let's build the future together. Apply for this job