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Telephone Inquiry Specialist

Summary

Telephone Inquiry Specialist

Location:Rancho Cordova, CA

Contract:7+ Month

Work Schedule (Shift/Work Hours): Onsite (5-8am start) M-F

Job Description:

Detailed Description:

Researches, resolves and responds to complex telephone inquiries that cannot be answered immediately by the Toll Free Telephone Representative and monitors cycle time reports. Processes in-house documents-CIFs, NOAs, Claims, TARs and RTDs.
Responds to incoming calls from Medi-Cal dental Beneficiaries and/or their representatives concerning general program policies, regional screening appointments, Treatment Authorization Request (TAR) Notifications, complaints; refers callers to Denti- Cal providers; reschedules regional screening appointments; refers callers to other agencies or resources. Tracks call information in the Beneficiary Correspondence Tracking System.
Responds to incoming calls from Denti-Cal provider offices regarding program policies/procedures, claims/TARs processing, EOB and check inquiries; provides patient history information and office enrollment status. Tracks call information in the Provider Correspondence Tracking System.
Miscellaneous projects as assigned.

Skills/Experience:
Job Requirements:

Dental Assisting Certificate from an accredited dental assisting school and/or a minimum of two years dental assisting experience in a dental office.
Pass DDC Dental Auditor V test and x-ray reading test.
One year communication experience.
Must be able to work regular overtime as required.
Knowledge of Denti-Cal provider billing procedures and claims adjudication processes
Medi-Cal rules and regulations, dental codes, procedures and practices preferred
Skills in communication, problem solving, basic math and use of computer tools.
Knowledge of dental anatomy, physiology, pathology and nomenclature used in the dental office.
Ability to handle detailed work.
Ability to maintain confidentiality.
Ability to handle multiple concurrent tasks.
Customer contact skills.
Ability to handle constant interruptions.
Stress management skills.
Reasoning skills.

Pay Transparency: "The expected pay range for this position is $18.00–$20.00 per hour. Final compensation will be determined based on experience, skills, and qualifications. Non-exempt employees are eligible for overtime. Full-time employees are eligible to select from different benefits packages. Packages may include medical, 401(k) without employer match. Paid Sick leave is provided based on state or local laws."

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 10120741
Position Id: DDC-1695
Posted 12 hours ago

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Telephone Inquiry Specialist

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Telephone Inquiry Specialist

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