Dental Network Support Specialist

Careington
  • Frisco, Texas
    12 days ago

    Job Description

    For more than 45 years, Careington International has been a leader in the health and wellness benefits space. Since its founding in 1979, Careington has been delivering dental discount solutions as its core competency. Today, Careington has expanded to offer a growing portfolio of 150+ health, wellness, lifestyle and virtual health products and services designed to deliver cost savings across a spectrum of life needs. Through its affiliated nationally licensed third-party administrator (TPA), Careington also delivers full-scale administrative services, including customer service, licensed enrollment, claims administration, individual and group billing, and more.

    We are based in Frisco, TX and employ prospective candidates that are open to a Hybrid work environment, three days per week in the office, two from home. Minimal travel for this opportunity. If you are looking for a great company culture filled with rewarding career advancement opportunities, this is the place for you. 

    The Dental Network Support Specialist’s primary function is to act as liaison for our in-network Dental Support Organizations and corporate dental groups in the U.S. 30% of the dental network is made up of these organizations, therefore it is very important we keep strong partnerships with our DSO’S, and operations run smoothly.


    Position Overview & Responsibilities:

    • Main point of contact for all assigned Dental Service Organizations (provider groups)
    • Speak with various contacts from DSO's from entry-level employees to C-level executive contacts.
    • Manage provider contracts and data within Careington’s proprietary CRM system
    • Build and send rosters on a monthly/bi-monthly basis
    • Maintain regular touch points with assigned DSOs through calls and emails
    • Educate DSO’s on client plans or state regulation and notices
    • Work with DSO consultants to assist with credentialing and plan reviews
    • Possible periodic travel to provider offices or conferences
    • Member complaint and grievance handling for dental groups
    • Assist internal team with provider credentialing audits
    • Recruit DSOs into additional plans
    • Negotiate fee schedules
    • Upsell new products to DSOs
    • Work with all network development divisions including recruitment, credentialing, and provider relations to ensure smooth experience for DSOs

    Qualifications & Requirements: 

    • Associate degree preferred 
    • Intermediate computer knowledge and experience with Microsoft Applications – Excel, Word, Outlook, PowerPoint, Teams etc. 
    • Experience with Adobe Writer is a plus 
    • Customer Service or dealing with customers by phone is a must.
    • Travel will be required at times depending on company needs.

    Skills & Abilities: 

    • Excellent verbal and written communication skills
    • Ability to work within a small team, cross train and assist with overall team goals
    • Very detail oriented with the ability to manage time efficiently
    • Keen analytical and project management skills
    • Problem solving abilities

    Numbers & Facts

    LocationFrisco, Texas

    Skills

    • Administrative Skillsunmatched
    • Adobe Product Familyunmatched
    • Analysis Skillsunmatched
    • Billingunmatched
    • C-Level Managementunmatched
    • Communication Skillsunmatched
    • Conferencesunmatched
    • Contract Managementunmatched
    • Cost Controlunmatched
    • Customer Relationship Management (CRM) Systemsunmatched
    • Customer Support/Serviceunmatched
    • Detail Orientedunmatched
    • Fee Scheduleunmatched
    • Healthcareunmatched
    • Microsoft Excelunmatched
    • Microsoft Outlookunmatched
    • Microsoft PowerPointunmatched
    • Microsoft Product Familyunmatched
    • Microsoft Wordunmatched
    • Negotiation Skillsunmatched
    • Network Supportunmatched
    • Presentation/Verbal Skillsunmatched
    • Problem Solving Skillsunmatched
    • Product Designunmatched
    • Project/Program Managementunmatched
    • Provider Contractingunmatched
    • Provider Credentialingunmatched
    • Provider Relationsunmatched
    • State Laws and Regulationsunmatched
    • Up-Sellingunmatched
    • Willing to Travelunmatched
    • Writing Skillsunmatched

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