Dental Network Support Specialist at Careington… · Location…

Dental Network Support Specialist

For more than 45 years, Careington International has been a leader in the health and wellness benefits space. Since its founding in 1979, Careington has been delivering dental discount solutions as its core competency. Today, Careington has expanded to offer a growing portfolio of 150+ health, wellness, lifestyle and virtual health products and services designed to deliver cost savings across a spectrum of life needs. Through its affiliated nationally licensed third-party administrator (TPA), Careington also delivers full-scale administrative services, including customer service, licensed enrollment, claims administration, individual and group billing, and more.

We are based in Frisco, TX and employ prospective candidates that are open to a Hybrid work environment, three days per week in the office, two from home. Minimal travel for this opportunity. If you are looking for a great company culture filled with rewarding career advancement opportunities, this is the place for you.

The Dental Network Support Specialist’s primary function is to act as liaison for our in-network Dental Support Organizations and corporate dental groups in the U.S. 30% of the dental network is made up of these organizations, therefore it is very important we keep strong partnerships with our DSO’S, and operations run smoothly.

Position Overview & Responsibilities:

• Main point of contact for all assigned Dental Service Organizations (provider groups)
• Speak with various contacts from DSO's from entry-level employees to C-level executive contacts.
• Manage provider contracts and data within Careington’s proprietary CRM system
• Build and send rosters on a monthly/bi-monthly basis
• Maintain regular touch points with assigned DSOs through calls and emails
• Educate DSO’s on client plans or state regulation and notices
• Work with DSO consultants to assist with credentialing and plan reviews
• Possible periodic travel to provider offices or conferences
• Member complaint and grievance handling for dental groups
• Assist internal team with provider credentialing audits
• Recruit DSOs into additional plans
• Negotiate fee schedules
• Upsell new products to DSOs
• Work with all network development divisions including recruitment, credentialing, and provider relations to ensure smooth experience for DSOs

Qualifications & Requirements:

• Associate degree preferred
• Intermediate computer knowledge and experience with Microsoft Applications – Excel, Word, Outlook, PowerPoint, Teams etc.
• Experience with Adobe Writer is a plus
• Customer Service or dealing with customers by phone is a must.
• Travel will be required at times depending on company needs.

Skills & Abilities:

• Excellent verbal and written communication skills
• Ability to work within a small team, cross train and assist with overall team goals
• Very detail oriented with the ability to manage time efficiently
• Keen analytical and project management skills
• Problem solving abilities