FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Provider Experience Agent
NationsBenefits. Serve as the primary point of contact for dental providers and network partners .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in provider relations and claims resolution, with a strong focus on communication and problem-solving skills. Proficient in managing provider inquiries and ensuring compliance with healthcare regulations.
Highest-signal resume keywords
Provider RelationsDental Claims KnowledgeCRM ProficiencyStrong Communication SkillsEscalation Management
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 ClaimsCDT CodesProvider ContractingEscalation DocumentationEligibility Verification
Soft Skills
De-EscalationMulti-TaskingFollow-Up
Tools & Technologies
CRM ToolsTicketing ToolsExcel
Industry Keywords
Provider ServicesMedicare AdvantageMedicaid Managed CareHealth Plan OperationsProvider Complaint Handling
About the role
Key responsibilities & impact- Serve as the primary point of contact for dental providers and network partners
- Resolve escalated issues related to claims, credentialing, authorizations, payments, and plan-specific benefit questions
- Act as the bridge between providers and internal operations, claims, and client services teams
- Own escalated provider issues from intake through resolution, including tracking, follow-up, and root cause documentation
- Respond to provider inquiries on claims, eligibility, benefits, fee schedules, and payment disputes within defined turnaround standards
- Coordinate with claims, credentialing, contracting, and client services teams to resolve cross-functional issues
- Support leased network partners and direct-contracted providers, including onboarding and orientation to NationsDental processes
- Identify trends in provider complaints and recommend process or training fixes
- Maintain an escalation log and report on volume, categories, aging, and resolution times
- Educate provider offices on plan-specific benefits, authorization requirements, and billing guidelines
- Support compliance requirements, including provider complaint handling, directory accuracy, and health plan client oversight requests
- Participate in provider outreach, webinars, and office visits as needed
- Measure success through escalation resolution, provider satisfaction, reduction in repeat issues, and accurate escalation documentation
Requirements
What you’ll need- High school diploma or equivalent required
- Associate degree or higher in business administration, healthcare administration, or a related field preferred
- 1 to 3 years in provider relations, provider services, or dental or health plan operations
- Working knowledge of dental claims, CDT codes, and provider contracting concepts
- Familiarity with Medicare Advantage or Medicaid managed care requirements preferred
- Strong written and verbal communication, with the ability to de-escalate frustrated providers
- Comfort managing multiple open issues and following up until they are closed
- Proficiency with CRM or ticketing tools and Excel
- Experience working with DSOs, group practices, or specialty provider organizations preferred
- Comfort presenting to provider offices and practice leadership in webinars and office visits
Benefits
Comp & perks- Website LinkedIn All Job Openings 1001 - 5000 employees Founded 2013 🏥 Healthcare 💼 Consulting 📦 Logistics 💰 Private Equity Round on 2022-04 Healthcare
- Consulting
- Logistics NationsBenefits is a leading healthcare technology company that specializes in providing financial technology solutions and supplemental benefits management. The company offers a variety of services, including hearing care through NationsHearing, health and wellness products via NationsOTC, and meal delivery through NationsMarket. NationsBenefits also provides specialized services like emergency assistance, healthcare transportation, and personalized health guidance using artificial intelligence. Their proprietary platforms, including Benefits Pro™, facilitate member support, benefit configuration, and e-commerce transactions. NationsBenefits focuses on improving member outcomes, closing care gaps, and enhancing satisfaction through advanced analytics and custom programs.