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Paramount Dental offers insurance products in Indiana, Kentucky and Ohio and pays claims in all 50 states. This Ohio- and Indiana-based company has been specializing in providing dental benefits to individuals since 1988.

Paramount Dental offers dental and vision plans to businesses of all sizes, participates in the Marketplace Exchange and serves thousands of Medicare members through partnerships with health plans throughout the United States. The company, originally founded by dentists, focuses on providing its clients with products that work to improve their overall health.

As a part of ProMedica, Paramount Dental is driven by ProMedica’s mission to improve your health and well-being. ProMedica has been nationally recognized for its advocacy programs and efforts to address social determinants of health. Paramount Dental strives to provide an exceptional experience to every member.

REPORTING RELATIONSHIPS/SUPERVISORY RESPONSIBILITIES

This role will report directly to the Call Center Team Lead. The role does not support direct reports.

POSITION SUMMARY

Provide accurate communication to outside clients (dentists, members, agents, and employer

groups) for claim, enrollment, and benefit service support. Coordinate processes and workload

with the assigned Operational Team Leader.

ACCOUNTABILITIES

*All duties listed below are essential unless noted otherwise*

1. Take information requests from outside clients, respond back with requirement details, and

ensure positive customer service support.

2. Responsible for problem solving client issues with regard to plan information, enrollment,

and client material.

3. Provide assistance and training for all web-based functions.

4. Communicate website capabilities in an efficient and innovative manner.

5. Direct clients to website to verify enrollment, benefits, and submit claims/pretreatments.

6. Data entry and organization of information as it was submitted by clients (dentists, employer

groups and agents).

7. Complete documents as a result of the system processing.

8. Other duties as assigned.

REQUIRED QUALIFICATIONS

Education: High School diploma or GED

Skills: Excellent computer skills, including Word and Excel or similar software. Must have excellent interpersonal skills necessary to communicate effectively with callers, physicians, and offices. Strong customer service orientation and interpersonal skills for positive relationship building. Must possess good organizational and priority setting skills and exercise independent judgment with minimal guidance and supervision. Self-motivated and directed with the ability to effectively prioritize and execute tasks in a high-pressure environment. Team oriented within the Operations area in order to maintain a collaborative environment for problem solving.

Years of Experience: N/A

License: N/A

Certification: N/A

PREFERRED QUALIFICATIONS

Education: N/A

Skills: Strong knowledge base of dental billing office practices, including practice management

computer system experience. Demonstrate knowledge of ADA/CDT coding regulations and

requirements. Basic knowledge of insurance regulations.

Years of Experience: 1-2 years’ experience in telephone sales or telephone-based customer

service.

License: N/A

Certification: N/A

WORKING CONDITIONS

Personal Protective Equipment: N/A

Physical Demands: Must be able to sit for extended periods of time; possess dexterity of hands

and fingers to operate a computer keyboard, mouse, and phone for data entry; requires carrying a laptop to meeting locations.

The above list of accountabilities is intended to describe the general nature and level of work performed by the incumbent; it should not be considered exhaustive.

ProMedica is a mission-based, not-for-profit integrated healthcare organizational headquartered in Toledo, Ohio. For more information, please visit www.promedica.org/about-promedica

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact [email protected]

Equal Opportunity Employer/Drug-Free Workplace

**Requisition ID:** 92919