Consultant

• Primary on site point person for providers to improve their understanding of benefit programs, policies and procedures
• Analyze and monitor provider cost reports to educate and improve cost and quality performance
• Maintain network participation by supporting dentists and dental office managers
• Educate providers on policies and procedures through office visits, phone and email
• Promote Web applications and increase electronic claims volume
• Negotiate special deals to maintain compliance and increase access
• Recommend changes to QA processes and internal methods
• Facilitate Oral Health presentations to educational institutions and organizations
• Assist provider offices in filing claims electronically
• Answer remittance, payment, benefit, claims, and eligibility questions
• Follow up with termination letters and maintain required reports
• Represent clients and company at trade shows, health fairs, audits, dental summits
• Assist in resolving elevated complaints and issues
• Obtain letters of recommendation from providers
• Recruit participating and non-participating providers to increase participation
• Manage CAP office performance
• Organize and present information to providers and staff
• Resolve difficult claims issues working with internal resources
• Strengthen and expand existing network to increase access
• Other duties as assigned

Provider Partner Consultant

Clinical Consultant, Solution Deployment

Clinical Consultant, Solution Deployment

Clinical Deployment Consultant – Mid-America

Workday Integrations Consultant

Building Envelope Consultant