Dental Network Service Representative

Job Opportunity At UCDP Of California, Inc.

This job services 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.
• Analyze and develop network retention strategies for follow up services to providers.
• 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.
• Communicate and maintain effective working relationships both internally and externally.
• Develop and manage process improvement initiatives designed to maintain URAC accreditation.

Education:

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

Experience:

• Required: Due to Government Contracts, this person 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: 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

Physical, Mental Demands and Working Conditions:

• Position Type: Office-Based
• Travel Required: 0% - 25%
• Physical work site required: Yes
• Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds

Pay Range Minimum: $50,200.00 Pay Range Maximum: $91,200.00