Dental Network Service Representative - Remote Eligible

Dental Provider Relations

Job Summary: Looking for someone with Dental Provider Relations to service United Concordia Dental's (UCD's) clients by recruiting, training and servicing quality dental networks in assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement. Meet with dentists and office personnel to act as the intermediary between the organization and UCD. Respond to contractual and payment issues both internally and externally. Ensure compliance with contractual terms through regular on-site audits. Apply an active role in network management, training, monitoring and enforcement of company policies and procedures while increasing provider efficiencies.

Essential Responsibilities:

• Identify and initiate contact with prospective providers. Develop and follow up on leads in an established time frame, while incorporating a sound business plan strategy to support and execute recruitment efforts.
• Analyze and develop network retention strategies for follow up services to providers by establishing and maintaining contact and rapport with dental staff members, office managers, insurance coordinators, hygienists and dentists throughout an assigned territory.
• Perform effective on-site visits through educating providers on the financial advantages and marketing incentives of participation.
• Act as subject matter expert with recommendations and data supporting development of network and sales strategy and support of leasing contract negotiation.
• Communicate and maintain effective working relationships both internally and externally (providers, dental industry, organized dentistry and dental consultants) keeping management informed on related healthcare industry issues/topics.
• Develop and manage process improvement initiatives designed to maintain URAC accreditation of all network practices associated with government programs using continuous quality improvement principles.

Education:

• Required: High School Diploma/GED
• Preferred: Bachelor's Degree - Business

Experience:

• Required: Must Be a US Citizen, 3 - 5 years of experience in the healthcare/insurance industry or professional experience in presenting concepts and influencing others in varying audiences
• Preferred: Dental Provider Relations, 3-5 years of experience as Dental Office Manager or Dental Hygienist

Skills:

• Written and oral communication skills
• Time management and organizational skills
• Knowledge of ADA/CDT codes and general dental terminology
• Negotiation skills
• Ability to analyze situations, determine points of relevance and proper course of actions

Language Requirement (other than English): None

Travel Required: 0% - 25%

Physical, Mental Demands and Working Conditions:

• Position Type: Remote
• Teaches/trains others regularly: Does Not Apply
• Travel regularly from the office to various work sites or from site-to-site: Occasionally
• Works primarily out-of-the office selling products/services (sales employees): Never
• Physical work site required: Yes
• Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds

Disclaimer:

The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

Pay Range Minimum: $50,200.00

Pay Range Maximum: $91,200.00

Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.