Client Account Coordinator - 

Key Responsibilities:

• Customer Service: Provide quality support to providers, ensuring they understand contractual issues and maintaining provider loyalty.
  

• Contract Knowledge: Maintain up-to-date knowledge of network contracts to provide accurate customer information that aligns with state guidelines.
  

• Liaison Role: Act as a daily liaison for panel leasing, managing administration tasks, resolving customer complaints, and addressing claim discrepancies.
  

• Managed Care System: Proficiency in using the Managed Care imaging system for effective work processing.
  

• Credentialing: Manage credentialing and re-credentialing processes and report to relevant data banks and boards.
  

• Provider Recruitment: Assist in recruitment and stay informed on recruitment plans to offer accurate customer updates.
  

• Network Expansion: Collaborate with Provider Network Representatives to expand the network.
  

• Relationship Management: Develop and maintain relationships with contacts from assigned files, updating systems as required.
  

• Fee Negotiation: Assist in fee negotiation processes in collaboration with the Actuarial department.
  

• Complaint Resolution: Handle complaints from insured members and network providers, educating dental offices as needed and mediating disputes.
  

• Compliance: Ensure compliance with state laws regarding PPO contracts and credentialing by working with Compliance and Law departments.

Qualifications:

• Education: High School Diploma or GED required; Associate’s Degree preferred.
  

• Experience: 2-4 years of related experience needed.
  

• Skills: Ability to develop and interpret provider contracts.

This role requires effective communication, relationship-building, and problem-solving skills to ensure provider satisfaction and compliance with regulations.
 

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