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Telephone Inquiry Specialist

WinMax Systems CorporationRancho Cordova, CA🇺🇸United StatesPosted 24 Jul 2026

Why This Role Stands Out

This role offers an excellent opportunity to leverage your dental expertise in a dynamic environment, supporting critical healthcare services and expanding your communication and problem-solving skills. If you thrive on assisting others and possess a strong background in dental assisting or claims processing, you'll find this position rewarding. Apply today to become a vital part of WinMax Systems Corporation!

Quick Overview

Salary
$18 - $20/hr
Work Type
On Site
Level
Mid Senior

Job Description

Telephone Inquiry Specialist
Location:Rancho Cordova, CA
Contract:7+ Month
Work Schedule (Shift/Work Hours): Onsite (5-8am start) M-F
 
 
Job Description:
 
Detailed Description:
  • Researches, resolves and responds to complex telephone inquiries that cannot be answered immediately by the Toll Free Telephone Representative and monitors cycle time reports. Processes in-house documents-CIFs, NOAs, Claims, TARs and RTDs.
  • 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. Tracks call information in the Beneficiary Correspondence Tracking System.
  • 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 Provider Correspondence Tracking System.
  • Miscellaneous projects as assigned.
Skills/Experience:    
Job Requirements:
  • Dental Assisting Certificate from an accredited dental assisting school and/or a minimum of two years dental assisting experience in a dental office.
  • Pass DDC Dental Auditor V test and x-ray reading test.
  • One year communication experience.
  • Must be able to work regular overtime as required.
  • Knowledge of Denti-Cal provider billing procedures and claims adjudication processes
  • Medi-Cal rules and regulations, dental codes, procedures and practices preferred
  • Skills in communication, problem solving, basic math and use of computer tools.
  • Knowledge of dental anatomy, physiology, pathology and nomenclature used in the dental office.
  • Ability to handle detailed work.
  • Ability to maintain confidentiality.
  • Ability to handle multiple concurrent tasks.
  • Customer contact skills.
  • Ability to handle constant interruptions.
  • Stress management skills.
  • Reasoning skills.
Pay Transparency: "The expected pay range for this position is $18.00–$20.00 per hour. Final compensation will be determined based on experience, skills, and qualifications. Non-exempt employees are eligible for overtime. Full-time employees are eligible to select from different benefits packages. Packages may include medical, 401(k) without employer match. Paid Sick leave is provided based on state or local laws."
 
 

 

Skills

Cordova

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