DentaQuest · 1 month ago
Commercial Dental Associate, DentaQuest
Portland, ME
Full-time
Onsite
New Grad, Entry Level
$39K/yr - $53K/yrDentaQuest is a leading provider of dental and vision benefits, managing care for over 33 million Americans. The Commercial Dental Representative role focuses on customer service inquiries and dental claims processing, requiring strong communication skills and a solid understanding of dental insurance.
DentalHealth CareHospitalInsuranceMedicalWellness
Responsibilities
Serve as the primary point of contact for members, dental offices, and providers via phone, email, or online inquiries
Answer questions related to dental benefits, claims status, and general dental plan inquiries
Resolve issues or concerns regarding claims, billing, coverage, and other customer service-related matters
Document all customer interactions accurately in the system
Provide clear explanations of policies, procedures, and benefits to callers
Maintain a high level of professionalism, empathy, and customer service during all interactions
Verify dental benefits and eligibility for members and providers
Communicate claim status and outcomes to providers and members, including providing detailed explanations for claim outcomes
May include processing some dental claims pend types in accordance with company policies and procedures
May perform claim adjustments on a defined set of claim types
Ensure claims are accurate, complete, and comply with relevant guidelines and regulations
Resolve any discrepancies or issues related to claim denials or rejections. This may include modifying or adjusting some claim types
Maintain confidentiality and adhere to HIPAA guidelines when processing claims and handling confidential information
Qualification
Required
High school diploma or equivalent
Excellent verbal and written communication skills
Strong problem-solving abilities and attention to detail
Ability to manage time effectively and handle multiple tasks simultaneously
Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and experience with CRM systems or claims processing software
Ability to maintain professionalism in a fast-paced, customer-focused environment
Strong social and communication skills to build rapport with customers and providers
Ability to work without supervision as well as part of a team
Excellent organizational and multitasking abilities
Ability to work under pressure and meet deadlines while maintaining high-quality work
Preferred
Previous experience in a call center, customer service, or claims processing environment
Knowledge of dental insurance plans, benefits, and terminology
Knowledge of dental terminology and procedures
Benefits
Generous vacation and sick time
Market-leading paid family, parental and adoption leave
Medical coverage
Company paid life and AD&D insurance
Disability programs
Partially paid sabbatical program
401(k) employer match
Stock purchase options
Employer-funded retirement account
Company
DentaQuest
DentaQuest is a healthcare firm that provides medical and surgical treatments and services in dentistry.
Founded in 2001
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
SMILE Health
2023-08-08Non Equity Assistance
2021-10-03Acquired
Leadership Team
Brian Watts
CEO
Shane Patrick, MBA
Managing Client Director (Oklahoma CEO)
Recent News
2025-10-28
2025-10-16
Company data provided by crunchbase