Dental Provider Administration Specialist @ AgreeYa Solutions | Jobright.ai
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AgreeYa Solutions · 18 hours ago

Dental Provider Administration Specialist

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Responsibilities

Interact professionally with the provider community, serving as the organization’s face and primary contact for dental associations.
Provide consultative support to providers and their staff to enhance service delivery to enrollees.
Educate and train providers to ensure high-quality dentistry aligned with contractual standards and community norms.
Ensure provider network compliance with regulatory requirements through training, education, and on-site dental office reviews.
Conduct quality management follow-ups, coordinate grievance resolution, and handle records retrieval.
Analyze internal data to identify and implement network improvement opportunities.
Coordinate and support dental conventions and provider workshops as scheduled by Network Development leadership.
Track and report provider relations activities using various application tracking tools, including documenting on-site practice visits.
Collect and analyze competitor information to inform process improvements and network strategies.
Collaborate with leadership to monitor provider utilization patterns and recommend practice management tools for effective plan administration.
Participate in assigned committees and sales meetings to share insights on market conditions, industry trends, and provider feedback.
Perform other related tasks as assigned, including assisting other departments.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Provider Network ManagementDental Office AdministrationManaged Care ExperienceAccount ManagementData AnalysisMS Office ProficiencyProvider EducationGrievance ResolutionMarket Trend AnalysisRelationship Building

Required

Bachelor’s degree or equivalent relevant work experience.
At least 2 years of experience in managed care.
Minimum of 3 years of experience in dental office administration or dental assisting.
Proven experience in provider network management, customer service, and/or account management.
Proficiency in PC usage and MS Office applications.
Ability to work with standard office equipment and on a computer for up to 7 hours per day.
Regularly required to sit for extended periods.
Close vision required for computer usage.
Consistent attendance and ability to work in a physical office environment.
Dental office/ Dental Network: 4 years (Required)
Provider Relations: 5 years (Required)
Provider Network: 3 years (Required)
Managed care/Medicaid: 3 years (Required)

Benefits

Dental insurance
Health insurance
Vision insurance

Company

AgreeYa Solutions

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AgreeYa Solutions is a global provider of software, solutions, and services

H1B Sponsorship

AgreeYa Solutions has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (33)
2022 (67)
2021 (70)
2020 (115)

Funding

Current Stage
Late Stage

Leadership Team

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Ajay Kaul
Managing Partner
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Company data provided by crunchbase
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