Career Opportunities

Delta Dental of Illinois is currently recruiting for the following position(s):

Enrollment Coordinator

The Enrollment Coordinator is responsible for the preparation, review, and data entry of enrollment documents.  This position is responsible for providing service to both internal and external stakeholders through effective verbal and written communication as well as troubleshooting and resolving all types of enrollment related inquiries. 

DUTIES & RESPONSIBILITIES:

  • Verify all pertinent information is received on enrollment forms and is accurate.
  • Key and research new and existing enrollment received.
  • Research and process changes from e-forms, e-mails, faxes, and mail submitted by other , Group Administrators, Third Party Administrators, and Brokers in support of both DDIL and its subsidiary.
  • Assist  electronic enrollment team during peak periods, reviewing error reports and making any necessary updates and adjustments to the system.
  • Working with Group Administrators requesting missing  and/or invalid information on enrollment forms.
  • Answer and return calls from other Departments, Group Administrators, Third Party Administrators, and Brokers regarding enrollment processing.
  • Assist Group Administrators and other employer users with the Web Enrollment Application.
  • Work closely with Finance on billing issues and enrollment reconciliations. 

EXPERIENCE & QUALIFICATIONS:

  • Strong data entry skills and capable of working in an ACD environment with talk and work time goals. 
  • Must have excellent oral and written communication skills.
  • Must be detail oriented and have the ability to multi-task. 
  • Knowledge of Microsoft Products (Word and Excel) is preferred. 
  • Insurance industry experience is a plus.

Client Services Representative

The Client Services Representative is responsible for providing service to the DDIL client base through effective verbal and written communication as well as troubleshooting and resolving all types of dental claim related inquiries.

DUTIES & RESPONSIBILITIES:

  • Complete understanding of dental terminology.
  • Ability to use good judgment when applying dental knowledge when processing claims and handling client calls.
  • Accurately respond to verbal and written inquiries and complaints directly from subscribers, providers, brokers, or group administrators.
  • Accurately process claim adjustments during the phone call and/or during regular work time.
  • Review and process claims according to established business rules that have failed computer program edits.
  • Maintain and follow up on documents for all adjustment requests, check investigations, overpayment letters and e-forms.
  • Complete and maintain daily log/forms/reports.
  • Accurately completes special projects assigned within specified time frames.

EXPERIENCE & QUALIFICATIONS:

Strong customer service skills. Excellent oral and written communications skills.  Strong computer keyboard skills and capable of working in an ACD environment with talk and work time goals.  Knowledge of insurance reimbursement practices, i.e. processing policies, deductibles, maximums, Coordination of Benefits (COB) and dental terminology.  Ability to multi-task. Excellent attendance and punctuality record.

Systems Analyst

The IT Systems Analyst is responsible for bridging the gap between the business needs and system design. This position is required to work with stakeholders across the organization.

DUTIES & RESPONSIBILITIES:

  • Work with stakeholders across the organization to determine the business and technical needs of the system(s).
  • Author system requirements as needed.
  • Using techniques such as sampling, model building and structured analysis, ensure the solution is efficient, cost-effective and financially feasible.
  • Develop specifications, diagrams and flowcharts for programmers to follow
  • Consult with end users to evaluate business requirements and transform them into design specifications
  • Design service interfaces and create interface mapping documents.

PREFERRED EXPERIENCE:

  • Health care industry experience
  • Experience with Oracle, PL/SQL
  • Experience prototyping and performance tuning applications deployed across multiple operating systems, languages and computing platforms

EXPERIENCE & QUALIFICATIONS:

  • Undergraduate degree in applicable area of expertise or equivalent experience
  • At least 2 years of Business Analysis experience
  • At least 2 years of experience in a technical role, such as software development, release management, deployment engineering, site operations, technical operations or similar
  • Experience in an agile development environment
  • Experience analyzing and reporting data in order to identify issues, trends, or exceptions to drive improvement of results and find solutions.

  

Mailing Address:

Delta Dental of Illinois
Attn: Recruiter
111 Shuman Boulevard
Naperville, IL  60563  

Fax: 1.630.983.4094

Email: jobs@deltadentalil.com

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