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Provider Administration Specialist

Alpharetta, GA

Position: Administrative/Clerical/Support

Job Description

We are seeking excellent Provider Administration professionals to start with one of our LARGEST clients, a leader in the HEALTHCARE INDUSTRY! APPLY TODAY!!
***Must be able to provide proof of COVID-19 Vaccination***
***Currently Remote, but must be local to Alpharetta, GA***

Job Description

  • *Maintains the integrity of an electronic database and assists dental providers offices with 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.
  • *Work individually or with a team to solve complex problems related to provider servicing.
  • * Sometimes acts as a technical resource to others in own function.
  • *Works various workflow queues for claims where address tax identification number conflicts with the provider file data.
  • *Handles escalated calls from client groups as well as outgoing calls to dental offices.
  • *Resolves 1099 tax discrepancies with provider offices; verifying with external databases.
  • *Runs queries; generates monthly reports and credentialing document verification requests.
  • *Screens provider enrollment packets for missing information and requests missing information from the provider.
  • *Performs other miscellaneous duties as assigned.

Skills/Experience:
* Organizational/time management skills and multi-tasking abilities.
* Strong written, verbal, interpersonal and phone skills
* Detail oriented with mathematical, reading, and comprehension skills.
* Knowledge of Current Dental Terminology (CDT) codes and dental nomenclature.
* Ability to type 40 words per minute with no more than two errors.
* Knowledge of the companys claims processing systems, claims flows and adjustment notices.
* Must be flexible to work any shift and willing to work overtime as needed based on business needs.

Education/ Experience 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 (Managed Care or Medical/Insurance experience).

**Wollborg Michelson Recruiting does require all applicants to be able to provide proof that they are fully vaccinated from COVID prior to their start date, unless otherwise prohibited by law
***Wollborg Michelson Recruiting is an Equal Opportunity Employer and prohibits discrimination of any kind. We ensure job offers are made based of one’s employment experience, skills, and qualifications, regardless of race, gender, ethnic origin, or any other classification protected by law. All applicants must furnish proper identification to prove their legal right to work in the US upon a job offer. We participate in E-Verify to confirm one’s right to work in the US. Wollborg Michelson Recruiting does not provide sponsorship for an employment-based visa status.*

Meet Your Recruiter

Zachary Vavra
Recruiter

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