Provider Administration Specialist

Essential Duties and Responsibilities:

  • Maintain the integrity of an electronic database, handling various tasks including business name changes, tax ID changes, termination of dental contracts, change of ownership, business splits, sale of practices, adding additional associates, license changes, dental specialty changes, updated contract information, and provider directory assistance
  • Plan, prioritize, organize, and complete work to meet established objectives.
  • Collaborate individually or within a team to solve complex problems related to provider servicing.
  • Act as a technical resource to others in the function when necessary.
  • Manage various workflow queues for claims where address or tax identification number conflicts with provider file data.
  • Education, Experience, Training Required:
  • A high school diploma or GED, but candidates with proven experience will not be excluded from consideration.
  • A minimum of 2 years related experience in Managed Care or Medical/Dental Insurance.