Supervisor, Provider Systems and Data

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 training, development, and management of Provider Systems and Data staff within the Provider Relations Department including the completion of annual performance reviews and requisite coaching/counseling as it relates to staff performance. Serve as back up to the Director of Provider Relations as needed and collaborate with strategic planning, annul budget and special projects within Provider Relations. Responsible for the management, creation, maintenance, and accuracy of provider records within the Delta Dental of Oklahoma (DDOK) claims processing system (aQDen), the National Provider File (NPF), and InforCRM (CRM). Accountable for providing an effective communication link with dental professionals, dental practice staff, and auxiliary personnel. Assist in the promotion of Provider Resource Solutions to our dental community: including but not limited to OSHA, HIPAA, and HOW. Act as a liaison between the Provider Relations department and all other DDOK departments to ensure communication and processes are complete and accurate. Oversee, manage, and assist with the processing of assigned claims and apply appropriate perimeters to determine benefits according to provider contracts and processing policies in force. Responsible for all activities and communication with Delta Dental Plans Association (DDPA) with regard to National Provider File and responsibilities as DDOK's NPF Coordinator. Oversee management and acquisition of all required documents from dentists and/or dental offices for business, malpractice, network and credentialing purposes. Responsible for ensuring DDOK remains in compliance with DDPA standards and dentists and/or dental office records are accurate and up to date in all applicable areas, including aQDen, CRM and the NPF. Oversee Provider System and Data Analyst's management of DDOK's provider portal, Practice Electronic Administrative Resource Link (PEARL), to ensure updates, documents, sign-ons and performance are well maintained for this critical business application.

QUALIFICATIONS:

• High school diploma or equivalent.
• Insurance related experience – two or more years.
• Working knowledge of PCs, as well as Word and Excel.
• Experience working with and maintaining multiple diverse and integrated systems.

ADDITIONAL QUALIFICATIONS FOR CONSIDERATION

• Two or more years customer service experience.
• Management experience.
• Dental office experience.
• College degree.
• Familiar with dental and/or insurance terminology.

Current Openings for Supervisor, Provider Systems and Data Jobs at Delta Dental of Oklahoma