Location
Noida | India
Job description
This role will assist in the responsibilities for the overall support of the Provider Control Unit in Group Dental. The primary focus will be to research and resolve requests and applications relating to dental providers utilizing multiple electronic database files for support of the Dental Product.
Job Responsibilities
- Reviews, evaluates, and resolves information submitted by varied electronic and paper transmission means from multiple source entities.
- Interacts with multiple internal and external partners.
- Assists providers with inquiries pertaining to the Preferred Dental Program (PDP), EFT and other MetLife sponsored dental solutions
- Routinely interfaces and consults with Dental Providers to resolve issues and concerns
- Process claims as per the set healthcare guidelines
- Follow HIPAA guidelines
- Make outbound calls to Provider office to confirm or verifying missing or already updated information on records
- Contact Provider offices to seek & validate Dental treatment information submitted or missing on claim requests
- Add/Update Banking Information (EFTs) on Provider files
- Utilizes multiple mainframes, PC, and Internet based systems.
- All other duties as assigned
Job tags
Salary
