What are the responsibilities and job description for the DENTAL CLAIMS ADJUSTER position at Wilson-McShane Corp?
Job Description
Job Description
Description :
Wilson-McShane Corporation is looking for a Dental Claims Adjuster in our Bloomington, MN office.
The schedule for this position would be Monday-Friday, 8 : 00am-5 : 00pm with a 1-hour lunch. This position is non-exempt with a compensation of $27.50 per hour.
Essential Duties and Responsibilities include the following :
Process dental claims on the Delta Dental system.
Answer high volume telephone calls from participants and providers with benefit questions.
Follow all HIPAA compliance guidelines to ensure protection of participant protected health information.
Other duties and projects may be assigned.
To perform the job successfully, an individual should demonstrate the following competencies :
Customer Service- Responds promptly to customers needs; Responds to requests for service and assistance; Manages difficult or emotional customer situations.
Oral Communication- Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions.
Written Communication- Writes clearly and informatively; Edits work for spelling and grammar; Presents numerical data effectively; Able to read and interpret written information.
Business Acumen- Understands business implications of decisions; Aligns work with strategic goals.
Professionalism- Approaches others in a tactful manner; Reacts well under pressure; Accepts responsibilities for own actions; Follows through on commitments; Team Player.
Judgment- Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
Quality- Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality; Takes pride in one's own work.
Quantity- Meets productivity standards; Completes work in timely manner; Strives to increase productivity; works quickly.
Dependability- Follows instructions, responds to management direction; Keeps commitments; Takes responsibility for own actions.
Attendance / Punctuality - Is consistently at work and on time; Ensures work responsibilities are covered when absent.
Adaptability- Adapts to changes in the work environment; Able to deal with frequent change, delays, or unexpected events; Ability to prioritize duties.
Planning / Organization - Prioritizes and plans work activities; Uses time efficiently.
To perform the job successfully, an individual should have the following qualifications :
Minimum of two years dental claims paying experience is preferred.
Experience with the Delta Dental system is preferred.
Ability to read and interpret documents such as Summary Plan Description and procedure manuals.
Computer Skills : Proficiency with Microsoft Office. Quick learner of other computer applications.
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