ADMINISTRATIVE ASSISTANT: DENTAL

Introduction

To provide administrative and operational support to the dental managed care clinical team, by processing dental treatment requests, communicating with members, dental providers and ensuring compliance with scheme rules, benefits, and agreed service levels.

Duties & Responsibilities

• Receive, process and capture dental treatment requests.

• Refer requests that require further clinical evaluation to the dental clinical team.

• Ensure that all required documentation such as motivation letters and x rays are received.

• Follow up on outstanding information with members and dental providers.

• Serve as an initial point of contact for dental requests.

• Assist with communication between the Client Services team and the Dental Clinical team.

• Assist with the compiling of service levels and operational reports on a weekly basis.

Desired Experience & Qualification

• Grade 12/ Matric (NQF4)

•Higher Certificate or National Certificate in Dental Assisting

• 3-5 years of experience within the dental field

• Experience within a medical aid, managed healthcare, or dental managed care environment will be advantageous

• Registration with the Health Professions Council of South Africa (HPCSA)

Package & Remuneration

Market Related

key competencies

• Understanding of medical aid scheme rules and dental benefit structures

• Understanding of the application of diagnostic (ICD10) and billing (NHRPL/ SADA) coding Strong  administrative and organisational skills

• Good communication and interpersonal skills

• Attention to detail and ability to maintain confidentiality

• Ability to work under pressure and manage multiple tasks effectively

• Customer service orientation

• Attention to detail

•Teamwork and collaboration

• Time management

•Problem-solving skills