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Dental Claims Coordinator – Provider Services
Alberta Blue Cross. Enter and manage dental claims and treatment plans to ensure timely payment for providers and members .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing dental claims and treatment plans while ensuring timely payments and adherence to policies. Strong organizational skills and attention to detail are essential for resolving discrepancies and improving workflow efficiency.
Highest-signal resume keywords
Dental Claims ManagementCustomer Service ExcellenceProblem-Solving AbilitiesMicrosoft Office Suite ProficiencyAttention to Detail
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Dental Terminology KnowledgeClaims AdjudicationWorkflow ImprovementDocumentation ReviewInformation Compilation
Soft Skills
Strong AccountabilityExcellent Organizational SkillsTime Management SkillsGood JudgmentAbility to Work Independently
Tools & Technologies
Microsoft Office SuiteTeamsSharePoint
Certifications & Qualifications
Satisfactory Criminal Record Check
Industry Keywords
Dental Provider ServicesClaims ProcessingTreatment PlansClaim DiscrepanciesProduction Monitoring
About the role
Key responsibilities & impact- Enter and manage dental claims and treatment plans to ensure timely payment for providers and members
- Research and compile information from various sources to resolve inquiries and claim discrepancies
- Consult with senior staff when assistance is required
- Contact providers to obtain necessary information to assess claims
- Adjudicate claims according to Dental Provider Services policies and standards
- Monitor individual production to meet claim turnaround expectations
- Suggest workflow improvements and increase efficiency
- Review and update documentation as required
Requirements
What you’ll need- Knowledge of dental terminology and nomenclature is a definite asset
- Demonstrated commitment to delivering superior customer service
- Ability to work with minimal supervision and a strong sense of accountability
- Strong problem-solving abilities and attention to detail
- Ability to use good judgment in evaluating and decision-making
- Excellent organizational and time management skills
- Ability to prioritize tasks, manage a heavy workload, and meet tight timelines
- Ability to occasionally work flexible hours
- Proficiency with Microsoft Office Suite is required
- Knowledge of Teams and SharePoint is an asset
- Satisfactory criminal record check required as a condition of employment following a conditional offer
Benefits
Comp & perks- Flexible remote work style
- Healthy work-life balance
- Opportunities for career growth
- Innovative, high-energy team-focused environment
- Diversity, inclusive workplace, and respect for unique perspectives, backgrounds, and experiences