Willamette Dental Group

  • Insurance Representative

    Job Locations OR-Hillsboro
    Job Req #
    # of Positions
    Job Post Information* : Posted Date
    1 week ago(5/17/2018 5:32 PM)
    Pos. Category
    Information Technology - Positions
    Pos. Type
    Contract to Permanent (Full Time)
    5 8-Hour Days
  • Company Overview

    With more than 400,000 patients throughout our 50+ practice locations in Oregon, Washington, and Idaho, and a built-in specialty referral network to more than 30 specialists, Willamette Dental Group has been a leader in preventive and proactive dental care since 1970. What makes this multi-specialty group practice unique, and better, is a commitment to proactively facilitating the best possible health outcomes.

    As a member of the Willamette Dental Group team, we offer a competitive salary commensurate with experience. We are a performance based culture and offer a generous and comprehensive benefit package. Among the many amenities we offer are medical, dental, vision, life insurance, paid time off (PTO), paid holidays, and a robust wellness program. Additionally, we offer a 401(k) plan with a generous employer match, tuition assistance, discounted monthly Trimet pass, and much more. Our Hillsboro, Oregon Administrative Headquarters are conveniently located in the growing Orenco Station neighborhood, just blocks from the MAX stop and within easy walking distance to many local shops and restaurants.

    Job Responsibilities

    This position is responsible for managing insurance information for Commercial Groups, Small to Large Direct Groups and Individual plans. The Insurance Representative handles all facets of the process from initiation of member enrollment through termination, verification of eligibility, monthly billing, payment processing and reconciling discrepancies on a complex insurance software system.

    Resolve within 24 hours all administrative requests from both internal and external sources.

    Research and resolve member eligibility questions from dental offices, brokers and company representatives.

    Reconcile and resolve discrepancies between monthly billings and corresponding premiums received from large commercial groups, small to large direct groups, and the individual plans, and notifying customers of discrepancies between those premium payments and eligible members.

    Provide outstanding customer services to our members by answering telephone calls or responding to emails.

    Administer group and individual plans on a daily basis, prepare monthly billing premium statements as well as broker commission statements.

    Daily use of insurance System to handle all customer inquiries, attach documents to groups, and work in a paperless environment.

    Process internal and outside referral encounters in a timely manner in order to capture utilization and provide payment to outside doctors as needed.

    Bachelor degree highly preferred or combination of education and experience. A minimum of two years’ experience in a health insurance environment, preferably in a group insurance premium accounting and eligibility related field. Strong computer and math skills, analytical thinking, sound judgment and other resources to implement effective problem solving. Ability to prioritize work, solve problems, interact with other team members and daily use of a complex software system. Must be detail-oriented, self-motivated and dependable. Effective communication skills both orally and in writing. Establish effective working relationships with fellow workers, customers and brokers.


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