Avesis

The coordinator manages the resolution of dental and vision appeals and grievances for members and providers within a regulated managed care environment. This includes analyzing medical records, documenting rationales, and collaborating with clinical and operational teams to ensure compliant outcomes.

Responsible for the ownership, administration, and monitoring of the EiPaaS/Bridgegate application to ensure accurate processing of 834 electronic files. The role focuses on business process continuity, data integrity, and the optimization of electronic data exchange workflows.

Responsible for driving new business growth by selling commercial vision and dental programs to small and mid-group employers. This includes managing distribution partner relationships, delivering competitive proposals, and collaborating with internal teams to ensure smooth client onboarding.

The Regional Sales Manager is responsible for driving new business growth by selling commercial vision and dental programs to small and mid-group employers. This includes managing distribution partner relationships, delivering competitive proposals, and collaborating with internal teams to ensure smooth client onboarding.

The Provider Relations Representative acts as a liaison between the company and vision care providers to build relationships and ensure high-quality service delivery. They are responsible for educating providers on policies, resolving issues, and documenting interactions to maintain network performance.

The specialist will handle 40-60 inbound calls daily, addressing inquiries of routine to moderate complexity regarding dental benefits for Medicaid recipients, while accurately capturing and updating member information in systems. They must investigate and collaborate with internal teams to ensure issues are resolved, providing compassionate support and expert guidance to members accessing essential dental care services.

The specialist will handle 40-60 inbound calls daily, addressing inquiries of routine to moderate complexity regarding dental benefits for Medicaid recipients and ensuring accurate system data capture. They must investigate and collaborate with internal teams to resolve member issues, ensuring follow-up until a solution is provided.