Delta Dental of Oklahoma

Claims System Analyst Jobs at Delta Dental of Oklahoma

Claims System Analyst Jobs at Delta Dental of Oklahoma

Sample Claims System Analyst Job Description

Claims System Analyst

Join Delta Dental of Oklahoma, the leading dental benefits provider

in the state of Oklahoma.

This position will work 40 hours per week.

Equal Opportunity Employer - Minority/Female/Disability/Veteran

DUTIES
Responsible for the setup and maintenance of all groups, benefit plans, benefit messaging and CDT updates. Must maintain a clear understanding of DDOK's processing policies and guidelines in order to setup groups correctly in the claims processing system. Also responsible for processing assigned claims and predeterminations according to contract agreements and DDOK's processing policies. Effective communication with internal staff within various departments is a vital role for this position.

QUALIFICATIONS:

  • High School Diploma or equivalent.
  • Ability to data enter 6000 KSPH alpha & 10000 KSPH numeric.
  • Ability to type 45 WPM.
  • Problem resolution and organization skills are needed to answer internal inquiries.
  • Excellent analytical skills.
  • Detailed oriented.

ADDITIONAL QUALIFICATIONS:

  • Dental terminology and experience preferred.
  • Experience in benefit coding or in the dental health field.
  • Knowledge of the aQden Claims Processing System.
  • Knowledge of DDOK plan designs, products, and processing policies.
  • College degree.

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