Manage inbound calls concerning dental plans, benefits, payments, and claims in a timely manner.
Identify subscribers, providers, and prospects needs, clarify information and research every issue and provide proper solutions.
Follow proper communication scripts when handling certain aspects of subscribers policy, explanation of benefits, or validation of dental providers place of business.
Keep records of all communication with subscribers, dental providers, and prospective subscribers.
Adhere to all HIPAA and PHI rules and regulations
Assist subscribers with processing payments for monthly or annual premiums.
Process claims and make claims adjustments if deemed necessary.
Enroll new subscribers into dental insurance plan that best fits their needs.
Assist dental providers with patients benefits, service frequency limits, and claims.