Job Information
Moda Health Supervisor - Dental Customer Service in United States
Supervisor - Dental Customer Service
Job Title
Supervisor - Dental Customer Service
Duration
Open until filled
Work Hybrid
Yes
Description
Let’s do great things, together!
About ModaFounded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.
Position SummaryProvide supervision to customer service representative. Organize staff, set goals, ensure resources available as needed, coach and monitor reps to develop their skills and knowledge in dealing with members, policyholders, providers, sales, and others. Ensure calls are answered promptly, accurately, professionally, and courteously. Evaluate reports and results to ensure goals are achieved. Pay Range$67,822.12 - $84,786.17 annually (depending on experience)
Please fill out an application on our company page, linked below, to be considered for this position.
https://j.brt.mv/jb.do?reqGK=27736566&refresh=trueThis is a hybrid position based in Milwaukie, Oregon. Benefits:
Medical, Dental, Vision, Pharmacy, Life, & Disability
401K- Matching
FSA
Employee Assistance Program
PTO and Company Paid Holidays
Required Skills, Experience & Education:
High school diploma or equivalent.
2 – 4 years claim experience including claim processing and/or customer service and/or claim support.
Excellent reading, writing and verbal communication skills.
Possess strong interpersonal skills necessary to deal with difficult issues and people.
Possess strong analytical, problem solving and decision-making skills.
Computer proficiency with Microsoft Office applications.
Must maintain confidentiality and project a professional business presence and appearance.
Must be able to work well under the pressure of frequent interruptions, to make good decisions on problems resulting from phone calls.
Ability to rapidly shift priorities and respond to questions from many sources on a variety of subjects.
Ability to organize and prioritize work.
Demonstrate ability to consistently organize work and time to meet deadlines and complete work on a timely basis.
Ability to come into work on time and on daily basis.
Demonstrate ability to consistently comply with company rules and policies.
Primary Functions:
Address verbal inquiries/complaints from members and providers, answer questions from Customer Service Reps, Sales and Account Services, Provider Relations, members, providers, and numerous internal departments.
Require knowing and understand benefits, claim processing, appeals, and all procedures related to claims and be able to communicate accurate information to staff and others.
Review and analyze benefits on new groups and individual plans and communicate to staff information they will need to provide customer service.
Communicate with Membership Accounting, Benefit Configuration, Professional Relations and Sales and Account Services to clarify benefits, intent, and procedures to provide customer service.
Monitor CSRs to ensure quality and that work resulting from phone calls is completed and followed up promptly and on a timely basis.
Provide direction to CSRs and keep them informed of expectations and performance monthly.
Provide personnel administration including timekeeping, performance appraisals, interviewing and hiring, counseling, etc.
Work with other departments to resolve group related issues.
Work with Membership Accounting to resolve issues such as ID card, eligibility, and premium discrepancies for Individual plans.
Perform other duties as assigned including membership in cross-departmental committees and projects.
Monitor to ensure CSRs (new and seasoned) are well trained and information documented is clear and accurate.
Review, analyze and develop process improvement implementation plans to ensure departmental process are efficient. Once process improvement endeavor is implemented, evaluate, and modify as is appropriate.
Other duties as assigned
Working Conditions & Contact with Others
Frequent outside contact with members, providers, and other carriers. Inside the company with Benefit Configuration, Sales and Account Services, Provider Relations, Claim Support, Membership Accounting, Information Technology, and others.
Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business need.
Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations please direct your questions to Kristy Nehler and Daniel McGinnis via our humanresources@modahealth.com email.