Dental Claims Processor

19 Jul 2022 4:47 PM | Sandra Sabanske (Administrator)

Company Name:   Delta Dental of Kansas

City:    Wichita

State:   KS

Position Description:

***Please only apply to this position if you live in one of the following states: Kansas, Missouri, Oklahoma, Texas, Nebraska, Iowa and South Dakota.

A Day in the Life of a Claims Processor:

-Adjudicating claims according to policy and contract requirements. You may need to request additional information as necessary by completing claim adjustments, referencing the benefits policy manual and other resources provided.
-Additional information may be requested by making phone calls, sending emails, or generating letters to our constituents.-
-Determining customer claims resolutions within prescribed guidelines for the purpose of meeting contract requirements.
-Researching, problem solving, and when necessary, referring complex issues to the appropriate department.
-Additionally, will have the opportunity to help by taking phone calls from our constituents, providing best in class, first call resolution customer service.
-Ongoing training on multiple software applications – there will always be something new and exciting to embrace and learn.
-Job performance is measured by meeting guaranteed claims turnaround time, individual productivity, quality, and accuracy of work completed.
-Continuously evaluating and identifying opportunities to drive process improvement in functions that impact the customers’ experience.

Position Type:   Full time

Pay:  $19+ per hour

Experience:   1-3 years

Experience in benefits claims/consumer driven health plans a plus.
Excellent written and verbal communication skills and attention to detail.
Ability to thrive in a fast-paced, collaborative, and innovative environment.
Ability to work extended hours, if necessary, during peak season to accommodate higher seasonal call volume to maintain our service excellence. Peak season is generally from the end of November into February each year.
Ability to utilize various technology platforms for effective communication, problem solving, and relaying information to constituents.
Ability to understand and become knowledgeable of policies and procedures related to release of information and HIPAA regulations.
Intermediate skills in Microsoft Office and virtual communication applications such as Microsoft Teams, Zoom, etc.
Ability to quickly adapt and learn new technologies as they are implemented in the workplace.

Must have a quiet and confidential workspace - we provide all of the work from home equipment!
High speed internet with the ability to hardwire via ethernet from cable modem to your PC. Internet connection with at least 25 mbps download and 10 mbps required. No WiFi or hotspots. Please run a speed test at https://www.speedtest.net/
Must reside in one of the following states: Kansas, Missouri, Oklahoma, Texas, Nebraska, Iowa or South Dakota. If you reside within an hour’s drive from Wichita, KS you will work our hybrid schedule, which is to collaborate in the office three days and two days at home weekly.
Regular and predictable attendance.

Education Level:   High school diploma; some college and/or dental industry experience highly preferred

About Company:

Delta Dental of Kansas is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. In addition to federal law requirements, Delta Dental of Kansas complies with all applicable federal, state, and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruitment, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to Human Resources.

Want to join a growing, winning team for company selected both locally and nationally as a Best Place to Work that dreams big, innovates, and has fun? Healthy smiles and healthy lives are at the heart of what we do, which is why we’ve been named the top 2022 Healthiest Employer. If you have a strong record of putting customers first, sharing ideas, collaborating with others who enjoy a fast-paced, fun, and engaging environment, we want to learn more about you!

At Delta Dental of Kansas, we strive for excellence in everything we do while living well through a holistic culture of health and wellness. We earn customer trust and loyalty every single day. We put the user first – their needs drive our innovative solutions. We strive to be inclusive, curious, and collaborative and we care about and support our community.

How We Take Care of Our People:

A diverse, fun, and engaging workplace that feels like a small and close-knit community that will make you feel at home while you’re at work!.
“You” time: we offer paid vacation, sick time, personal time, holidays, floating holidays, your birthday off with pay, and paid volunteer time for you to give back to a non-profit of your choice.
Top-notch health benefits: we offer best in class health, dental, vision, and supplemental plans.
Competitive compensation package that includes annual bonus and merit increase.
401(k) plan with company match and additional contribution for those who are eligible.
EMPAC – Employee Assistance Program for you and everyone in your household.
Career growth: Education/tuition assistance, corporate memberships, seminars, lunch and learns, etc.
Named the top 2022 Healthiest Employer: on-site workout room, employee lounge, lactation/self-care room. Gym membership benefits. The Culture Committee plans various fitness and healthy habits challenges, cooking demonstrations, mental health seminars, social engagement opportunities, and more.
Delta Dental of Kansas Has Been Recognized Nationally and Locally As:

Named the top 2022 Healthiest Employer by the Kansas City Business Journal in our company size category
Named a Best Place to Work by the Wichita Business Journal
Nationally selected as Best Places to Work in Insurance in 2021
Company of the Year for Insurance by the American Business Awards (Gold Award).
Bronze Award as one of the Top Employers in the US for our “exemplary” Covid-19 response
2021 Innovation Award by the Wichita Business Journal
Healthy Workplace Gold Award for excellence in employee engagement and community service
AM Best “Excellent” rating among over 16,000 insurance companies for business management, innovation, operating performance, and risk management
Corporate Partner of the Year from an affiliate of the Wichita Metro Chamber of Commerce.
We want individuals passionate about providing outstanding service and ensuring healthy smiles to join our best in class Claims Processing team. Those with experience in the dental industry will be given first preference.

How to Apply:  Please submit resume to jhendrickson@deltadentalks.com(Jennifer Hendrickson, Recruiter) or apply on our website at https://www.deltadentalks.com/careers

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