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Telephone Representative
Ref No.: 18-02215
Location: Rancho Cordova, California
Start Date: 05/15/2018
Job Title: Telephone Representative
Job Description: Detailed Description:

* To respond to incoming calls from Denti-Cal providers, beneficiaries and their representatives; track calls on the Provider and Beneficiary Correspondence Tracking System. Responds to incoming calls from Medi-Cal dental Beneficiaries and/ or their representatives concerning general program policies, regional screening appointments, Treatment Authorization Request (TAR) Notifications, complaints; refers callers to Denti-cal providers; reschedules regional screening appointments; refers callers to other agencies or resources. Responds to incoming calls from Denti-cal provider offices regarding program policies/ procedures, claims/ TARs processing, EOB and check inquiries; provides patient history information and office enrollment status. Tracks call information in the Beneficiary or Provider Correspondence Tracking System; completes Referral Variance Log, S/UR Referral Form, etc. Miscellaneous duties as assigned.

Job Requirements:

* 6 months to 1 year minimum work experience required if graduated from accredited dental assistant school; otherwise, 2 years dental office experience. 6 months to 1 year working with the public, as in the dental office required. 6 months to 1 year of clerical work required. Dental Paraprofessional training. Must have worked in dental a office within past 24 months. PC Skills. Graduate from an accredited dental assistant school, or two years in a dental office. Completion of Denti-Cal paraprofessional training program. Reading and writing skills. Ability to enunciate clearly. Analytical and problem solving skills. Basic math skills. Interpersonal skills. Knowledge of Denti-Cal provider billing procedures and claims adjudication processes, Medi-Cal rules and regulations, dental codes, procedures and practices preferred.