Delta Dental of Washington · 3 days ago
Quality Assurance Coordinator
Delta Dental of Washington is committed to ensuring excellent customer experiences and health outcomes. The Quality Assurance Coordinator will develop and maintain systems to ensure that all communications and tasks meet established standards and quality levels, collaborating closely with Operations Managers and the Training team.
Health Care
Responsibilities
Evaluate claim quality for Operations. Maintain audit performance statistics and error trends
Review our Service Specialists and Support Team inbound calls to offer feedback based on ability to provide exceptional customer service focused on the customer experience, employee experience, ability to display empathy and build a connection with our customer and provide valuable information while strengthening our brand
Review and evaluate online communication via text, chat and/or email to ensure that exceptional written communication is provided to our customers
Review and evaluate daily Group Administration transactions for retro adjustments, new groups, data entry transactions, and specific document processes
Review and evaluate PSR updates including, address changes, TIN changes, and EFT adjustments associated with TIN adjustments, network adds, credentialing and recredentialing
Partner and collaborate monthly with Operations Training Dept. to review performance and potential areas for associate development
Maintain current knowledge base of these consistently changing entities: Dental on Demand system enhancements and modifications, procedural documentation, contract terms, federal and state regulations, Delta Dental Plans Association policies and procedures and any other information pertaining to accuracy
Maintain open communication between Quality Management and Operations Leadership and staff, building open lines of communication to strengthen the team’s relationship with all groups
Qualification
Required
One year call center, claims processing, Provider Services and/or Group Administration experience required
Effective communication skills (both written and oral)
Proven skills in working independently and as part of a team, while using discretion in decision making and good judgment in problem solving
Proficient PC skills, experience with Excel and Access
A high degree of impartiality and confidentiality when reviewing work to insure objective reporting
A strong desire to perform well and continue to learn
High School diploma or equivalent required
Benefits
Highly competitive medical, dental and vision plans
Generous 401k match
Vacation and sick time from their very first day
Tuition reimbursement plan
Professional development plans
Employee-led communities
Company
Delta Dental of Washington
Delta Dental of Washington is Washington's leading dental benefits company.
Funding
Current Stage
Growth StageTotal Funding
unknownKey Investors
SMILE Health
2023-08-08Non Equity Assistance
Recent News
Arkansas Business — Business News, Real Estate, Law, Construction
2025-03-18
2025-01-31
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