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Northeast Delta Dental · 15 hours ago

Enrollment and Billing Dental Insurance Coordinator

Concord,NH,US

Full-time

Onsite

Entry Level

$21/hr - $22/hr

1+ years exp

Northeast Delta Dental in Concord, NH is looking to hire a full-time Enrollment and Billing Coordinator to update records and provide guidance on subscriber enrollment and benefits administration. The role involves ensuring data integrity, responding to customer inquiries, managing the billing process, and collaborating with stakeholders.

Health CareInsurance

No H1B

Responsibilities

Assures data integrity by accurately entering enrollment data into the custom enterprise system based on underwriting, eligibility, and group contract criteria

Responds to customer inquiries received via phone, email, fax, or letter

Provides information to internal and external customers on underwriting funding, eligibility group guidelines and the Group Admin Portal

Facilitates eBilling for the risk business usage by encouraging, educating, and enrolling groups. Researches, identifies and resolves errors in eBilling for Risk business, and responds to customer inquiries

Manages the billing process by preparing and mailing risk bills, performing collection of current and delinquent accounts, and adjusting the hold status of claims according to company collection guidelines

Calculates and prepares billing adjustment forms and conducts billing audits for risk accounts. Communicates and coordinates monthly billing with internal stakeholders, risk groups and outside vendors

Performs group enrollment audits and makes eligibility adjustments. Reviews enrollment data for accuracy by comparing and analyzing group reports and performing audits

Collaborates with Third Party Administrators (TPAs) and employer groups to reconcile discrepancies and update records

Qualification

Computer proficiencyEligibility regulations knowledgeAssociate's DegreeMicrosoft Office SuiteOnline enrollment tools

Required

Associate's Degree in Business, General Studies, Communications, or related field, plus at least one year of related experience or an equivalent combination of training, experience, and/or education

Computer proficiency required, especially with the Microsoft Office Suite

Must have a working knowledge of eligibility regulations and guidelines