Dental Customer Care Specialist II (Temporary)

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

Essential Functions:

Requires work to be performed at an onsite physical location on a regular basis (generally 3 days per week) as determined by applicable business unit unless business demands, geography or other factors require adjustments to this requirement.

• Utilizes multiple systems, applications, and reference tools, provides customer service via inbound call queues and various channels of written communications (such as email, chat, and portal inquiries) while also processing routine to moderately complex dental claims and adjustments.
• Under direction of more senior staff, conducts dental claims or inquiry related research.
• Assists with projects as directed by management.
• Performs other duties as assigned.

QUALIFICATIONS:

Education and Experience:

• Associate's degree in business or healthcare administration, communications or related field.
• Equivalent education and experience directly related to the role may substitute for a degree.
• 2 years of experience as a Customer Care/Claims Specialist or equivalent customer service experience, preferably in dental insurance, dental providers office, or the healthcare/health insurance industry.
  
  
  

Professional Certification(s):

• Certified Dental Billing Specialist (CDBS), Certified Dental Coder (CDC), or Certified Dental Assistant (CDA) a plus.

Technical Skills and Knowledge:

• Basic to intermediate Microsoft Office skills.
• Solid knowledge of dental benefits, services, terminology, and American Dental Association coding.
• Knowledge of standard customer services best practices and principles.
• Knowledge of Heath Insurance Portability and Accountability Act (HIPAA).