Triage Coordinator

Delta Dental of California
$40,500 - $84,800
dental insurance, paid time off, paid holidays, tuition reimbursement, 401(k), employee discount
United States, Pennsylvania, Camp Hill
Nov 21, 2024
JOB DESCRIPTION This Triage Coordinator will be responsible for the beginning-to-end process of receiving, reviewing, and assigning appropriate cases into the G&A system of record. This position will act as a G&A subject matter expert for all lines of business and "gate" items that do not belong in the G&A Department. This role partners with various departments to educate and work towards preventing non-G&A items from coming to the department. This is in accordance with the standards and requirements established by various Regulators. Examples include but are not limited to: DMHC, Federal and State Exchanges, CMS. RESPONSIBILITIES Coordinates and manages the appropriate intake and creation of new and existing cases, while identifying the priority of each case based on an initial regulatory and case type analysis. Assigns each case to the appropriate team for timely and accurate processing. Inputs cases received within 24 hours to 2 business days and due to time sensitivity, some evening, weekend, and holiday work may be required. Ensures each new case has all the required elements for processing. Collaborates with the assigned G&A Representative or Specialist to ensure cases are acknowledged and responded to correctly, accurately, and within set service level standards. Performs initial analysis of case to determine escalation pathway and communications in G&A system of record. Categorizes grievances and appeals into appropriate classification for accurate regulatory reporting. Performs initial analysis and investigation through various appropriate channels and assesses for appropriate assignment of work Leads/coaches the G&A specialists and representatives in response to customer issues, complex inquiries, and difficult situations. Writes and manages outbound documents, correspondence, and reports in required time frames. QUALIFICATIONS 1+ years of experience w/High School Experience in customer service, provider service, health service, or dental in a managed care or health care environment handling escalated or complex issues. A minimum of 3 years experience within Grievances and Appeals. Knowledge of health plan benefits, processes, and operations Intermediate or advanced computer literacy skills Strong organizational, time management, and written and oral communication skills Detail-oriented with the ability to conduct research and identify steps required to resolve issues and follow through to completion Ability to be resourceful and enjoy solving complicated problems to get to the root cause Base Pay Information The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental's assessment of the candidate's knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. Pay Grade 15. $40,500 - $84,800 ADDITIONAL INFORMATION Behind the smile! We are dedicated to safeguarding the health and financial stability of our employees and their loved ones. This commitment extends beyond the workplace to foster personal growth and holistic wellbeing. Our life-changing rewards package includes: Competitive base and incentive pay 401(k) with robust matching and non-matching contributions Rich medical & pharmacy benefits 100% employer-paid dental and vision benefits Holistic wellbeing program with deep financial incentives Generous paid time off plus 12 paid holidays and your birthday off Culture of growth and learning: career development; tuition reimbursement; recognition program Family support: adoption assistance, fertility treatment, child, elder & pet care assistance Social responsibility and volunteer opportunities Employee discount program Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. #LI-Hybrid ABOUT THE TEAM At Delta Dental, we're behind millions of smiles and counting. For over 68 years, we've served our communities by increasing access to affordable, quality care - but that commitment to care extends beyond the people we serve, to the dedicated employees who make those smiles genuine. We've come this far by building equitable programs that offer opportunities for advancement, create meaningful connections and improve the lives of our employees and their families. Because we know that when we take exceptional care of each other, we can make a positive impact for all. We champion an inspirational workplace through our commitment to trust, service, excellence and innovation. Joining us means working for a company that offers stability and balance, opportunities for leadership at all levels, and a work environment focused on teamwork and camaraderie. Discover the smiling faces behind Delta Dental and experience our values and culture in action by connecting with us on social media. Follow Delta Dental Ins. on Facebook and Instagram, #LifeatDDins on Facebook and Instagram, Delta Dental Ins. on Twitter and Delta Dental Ins. on LinkedIn. If you've got an appetite for innovation and want to be a part of a team that's transforming the future of health care, join us! Since 1955, we have offered comprehensive, high-quality oral health care benefits to millions of enrollees and built the strongest network of dental providers in the country. The Delta Dental of California network includes affiliates Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; and Delta Dental of West Virginia, providing dental benefits to more than 31 million people across 15 states, the District of Columbia, Puerto Rico and the Virgin Islands. The company and its affiliates are part of Delta Dental Plans Association (DDPA), a not-for-profit national association based in Oak Brook, Illinois. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. We offer vision coverage through DeltaVision in 15 states and the District of Columbia. Collectively, we deliver benefits to more Americans than any other dental insurance company. Delta Dental is an equal opportunity employer. We are committed to building and maintaining a diverse and inclusive workplace for all employees. Applicants will not be discriminated against because of race, color, religion, creed, national origin, ancestry, citizenship status, sex (including pregnancy), sexual orientation, gender or identity expression, age, disability, marital status, medical status, veteran status or any other status protected under federal, state, or local law. In addition to federal law requirements, Delta Dental complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Unfortunately, our Delta Dental Enterprise is unable to hire individuals residing in Alaska, North Dakota, Nebraska, Hawaii, Oklahoma, Vermont, Maine, West Virginia, New Hampshire, Wyoming, Puerto Rico, District of Columbia (Washington D.C.) or other US Territories at this time. Proof of eligibility to work in the United States must be provided if selected for hire. Delta Dental includes: Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania, and Delta Dental of New York If You Are A Current Employee Click Here* To Apply