- Research and analyze both existing and new payor contract terms, obligations and advantages/disadvantages of doctor enrollment
- Collaborate with the Legal Department and Dental Insurance Administration Department to manage the contract terms and obligations of enrolled doctors.
- Recommend payor contract enrollments to supported doctors and initiate accordingly.
- Manage the implementation of payor contracts to ensure consistency of doctor enrollment within regions/states.
- Build and develop relationships with dental insurance payor representatives.
- Manage payor contract updates and programs.
- Collaborate with other Heartland departments and team members to ensure contract updates and programs are implemented accurately and timely.
- Identify new payor/business opportunities to generate new patient to supported offices
- Perform insurance plan research related to specific employer groups by market
- Must reside near St. Louis, MO, Indianapolis, IN or Effingham, IL areas.
- Must be able to go into the office at least one day a week.
- At least an associate degree
- 3+ years of relevant work experience with payor relationship/network support
- Excellent verbal and written communication skills
- Strong computer skills, including experience with Microsoft Word, Outlook, Excel and PowerPoint
- Strong organizational skills, accuracy and attention to detail
- Ability to work well under pressure and prioritize multiple tasks.
- Ability to interact with co-workers in a collegial manner to accomplish common tasks.
- High level of maturity, personal initiative, and sound judgment
- Strong work ethic.
- Healthcare and/or dental industry experiences
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Payor Relations Support Representative - Creve Coeur, United States - American Dental Partners
Description
Job DetailsReq ID: 89287
Supported Practice: Heartland Dental
Category: Payor Relations
Location: 12647 Olive Blvd, Creve Coeur, MO 63141
Position Summary:
Payor Relations Support Representative
Do you have excellent customer service and communication skills? Do you like working with a team to accomplish high level goals? If so, we should talk Our department is growing to expand the dental payor support to 1,800 doctors and their office teams in the nation's largest Dental Service Organization.
We are looking for a team member who thrives on learning, collaborating and relationship building. As a Payor Relations Support Representative, your role includes conducting research and making recommendations of insurance/payor contract enrollment to our supported doctors. You will also help implement and roll out payor contract updates across the supported offices, and manage payor contract programs to ensure strong support of payor relationships.
Heartland Dental proudly supports 1,100+ dental offices and more than 12,000 team members across the country. We are hard-working, fun-loving and fast-growing - looking for our next perfect fit
To give you an idea of the team structure, you w
ill work within the Payor Relations Department, comprising of a VP, Director, Managers, and other staff members.
Below is an overview of the duties and responsibilities you would take on in this role:
Company retains the sole discretion to change the duties of the position at any time.
We provide all employees and applicants for employment the protections of federal, state, and local laws affording equal opportunity in employment.
