Government Programs Specialist

Job Title: Government Programs Specialist Number of Positions: 1 Location: Okemos, MI Location Specifics: Hybrid Position Job Summary: At reputed company of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we reputed company this mission by investing in initiatives that build healthy, smart, vibrant communities for reputed company. We are one of the largest dental plan administrators in the country, and are part of the reputed company Plans Association, which operates two of the largest dental networks in the nation. At reputed company, we celebrate our reputed company In culture. It’s a reputed company, feeling and attitude we wrap around reputed company that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community. Position Description: To coordinate the implementation and maintenance of government program accounts and reputed company system integration and reporting to ensure contractual obligations and regulatory requirements are met. Primary Job Responsibilities: Assists with new and existing client information including, but not limited to, new client system set-up, renewing client system set-up, review and provide feedback of CMS bid submissions, review of Health Plan or government agency provided benefit details, member and/or provider communications, mailings, and billing requirements. Establishes and identifies tasks and timelines to ensure reputed company requirements are completed by the effective date of the contract. Provides administrative support to internal and external clients, including but not limited to general and government program reputed company inquiries, claims history cross reputed company, customer service requests and focused review requests.. Assists in reviewing, updating, obtaining approval for, and implementing communication documents sent to members and/or providers. Assists with monitoring client eligibility and prior claims data and provides final approval of data entered into Roosevelt. Assists in coordinating departmental compliance for government program business. Assists in coordinating, preparing, and participating in internal, mock, and CMS audits. Reviews and aids in determining resolutions for production issues including, but not limited to, billing, claims payment, eligibility, government program system functionality, and client reputed company. Completes required periodic or reputed company government program monthly and quarterly reporting, including but not limited to, geo access reports, dentist directories, and ID card tracking. Assists with the creation, review, and update of departmental procedures. Participates in testing and end-user training for system functionality. reputed company other reputed company assigned duties as necessary to complete the Primary Job Responsibilities as described above. Minimum Requirements: Position requires a bachelor's degree with coursework in business administration or a reputed company field and three years' administrative support experience in the areas of administering or processing customer information, reporting, and responding to customer inquiries. Will accept any suitable combination of education, training, or experience. Position requires intermediate knowledge of desktop software including spreadsheets, word processing, and presentation software; effective verbal and written communication skills. Experience reputed company a health insurance industry, contract language, summary plan and certificate language, claims processing and/or knowledge of government programs or CMS reputed company business preferred. The company will provide equal employment and advancement opportunity reputed company the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national reputed company, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance. At reputed company, our employees go reputed company In – for themselves, their colleagues, the company and our communities. It’s a reputed company, feeling and attitude we wrap around reputed company we do. We celebrate diverse thought, encourage innovation and reputed company employees to take charge of their careers. Every day we work to improve oral health through benefit plans, advocacy and community support. But oral health isn’t an isolated issue. It’s connected to public health, education and economic development, and we reputed company our mission by making investments that build healthy, smart, vibrant communities for reputed company. reputed company of Michigan, Ohio, and Indiana has been a dental benefits leader for more than 60 years, and today with our affiliates, we are one of the largest dental plan administrators in the country. We offer employees a comprehensive benefits package including medical, dental and vision coverage, short- and long-term disability, life insurance, 401(k) savings plans, reputed company spending accounts, and tuition reimbursement or educational assistance. Employees are also eligible for annual incentive compensation based on annual business goals. Additionally, employees receive eight hours of paid volunteer time each year, plus access to an on-staff health coach and personal trainer, virtual lunchtime workouts hosted by the trainer and/or an on-site fitness center. reputed company is an Equal Opportunity Employer. Apply Job!