Job Description

Job Description

Job Description

Let’s do great things, together!

About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.

Position Summary
Creates and maintains provider records to assist with quick turnaround of dental claims. This is a Temporary WFH position.

Pay Range
$17.00 - $18.55 hourly (depending on experience)
**Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.

Please fill out an application on our company page, linked below, to be considered for this position.
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Benefits:

• Medical, Dental, Vision & Pharmacy
• PTO and Company Paid Holidays
• 401k - Matching

Required Skills, Experience & Education:

1. High school diploma or equivalent.
2. Basic knowledge of Microsoft Office computer programs.
3. Strong attention to detail.
4. Typing skills of 35 wpm net.
5. Ability to work independently and collaboratively.
6. Ability to self-manage and maintain production quotas.

Primary Functions:

1. Create accurate dental records for providers and provider groups.
2. Review the National Provider File for information for manual loading into Facets.
3. Capture and report offices needing enrollment with electronic funds transfers (EFT).
4. Monitor existing provider records for possible updates such as change in remit address or tax information.
5. Assist Dental Claims with manual pricing as needed.
6. Reply to customer service tasks for requests on provider contracting status, fees, and requests for updates.
7. Respond to inquiries from internal departments, including medical claims, dental claims, dental customer service and Moda Health employee claims and customer service.
8. Email providers their accepted fees.
9. Participate in user accepted testing (UAT) for system updates or new applications as needed.
10. Other tasks as assigned by management.

Working Conditions & Contact with Others

• Work from home environment with extensive close PC and keyboard work, constant sitting, and occasional phone work. Must be able to navigate multiple screens. Work in excess of a standard work week or in-office work to meet business needs.
• Internally with Dental Claims and Support, Dental Customer Service, Employee customer service/claims and Medical Claims.

Together, we can be more. We can be better.

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.

For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our humanresources@modahealth.com email.

Job Tags

Hourly pay, Holiday work, Temporary work,

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