REMOTE Dental Assistant - Clinical Review Support Specialist
Market leading healthcare organization looking for a Dental Assistant to join our team in a remote/100% work from home role! Great opportunity, please call us today!
JOB SUMMARY:
The Dental Assistant will work as a Clinical Review Specialist providing timely and accurate review and authorization of dental services based on eligibility and contract requirements.
PRIMARY JOB RESPONSIBILITIES:
Successful completion of the Clinical Review Specialist training program
Read, interpret and analyze x-rays and requests for major dental services based on medical necessity, client coverage, provider participation and member eligibility
Resolve claim and prior authorization that require UM Review
Consistently meet productivity requirements
Maintain audit score of 95% or greater
Pass the IRR quarterly
Communicate and work effectively with co-workers and Leads to coordinate workload to ensure all work is completed daily
Knowledge of reference materials and documentation that contain market intel
Respond to follow-ups
Provide customer service via the telephone to providers regarding clinical issues
Requirements
High School Diploma or equivalent
1 year dental assisting experience - REQUIRED
Ability to read and interpret x-rays, dental models, photos, and/or patient charts
Preferred: Previous Dental Insurance Experience a plus
Good interpersonal skills
Ability to work independently
Excellent communication skills
Efficient PC skills (Word, Excel, Outlook)
Ability to prioritize and organize multiple tasks
Ability to remain organized with multiple interruptions
Knowledge of telephone systems
Ability to work in excess of 40 hours in a week
Required to attend additional training as required/deemed necessary
Job Types: Full-time, Contract
Pay: $23.00 - $25.00 per hour
Benefits:
401(k)
Dental insurance
Health insurance
Vision insurance
Schedule:
8 hour shift
Day shift
Monday to Friday
Education:
High school or equivalent (Required)
Experience:
Dental assisting: 1 year (Required)
dental insurance: 1 year (Preferred)
X-Ray: 1 year (Preferred)
Work Location: Remote
Apply Job!
JOB SUMMARY:
The Dental Assistant will work as a Clinical Review Specialist providing timely and accurate review and authorization of dental services based on eligibility and contract requirements.
PRIMARY JOB RESPONSIBILITIES:
Successful completion of the Clinical Review Specialist training program
Read, interpret and analyze x-rays and requests for major dental services based on medical necessity, client coverage, provider participation and member eligibility
Resolve claim and prior authorization that require UM Review
Consistently meet productivity requirements
Maintain audit score of 95% or greater
Pass the IRR quarterly
Communicate and work effectively with co-workers and Leads to coordinate workload to ensure all work is completed daily
Knowledge of reference materials and documentation that contain market intel
Respond to follow-ups
Provide customer service via the telephone to providers regarding clinical issues
Requirements
High School Diploma or equivalent
1 year dental assisting experience - REQUIRED
Ability to read and interpret x-rays, dental models, photos, and/or patient charts
Preferred: Previous Dental Insurance Experience a plus
Good interpersonal skills
Ability to work independently
Excellent communication skills
Efficient PC skills (Word, Excel, Outlook)
Ability to prioritize and organize multiple tasks
Ability to remain organized with multiple interruptions
Knowledge of telephone systems
Ability to work in excess of 40 hours in a week
Required to attend additional training as required/deemed necessary
Job Types: Full-time, Contract
Pay: $23.00 - $25.00 per hour
Benefits:
401(k)
Dental insurance
Health insurance
Vision insurance
Schedule:
8 hour shift
Day shift
Monday to Friday
Education:
High school or equivalent (Required)
Experience:
Dental assisting: 1 year (Required)
dental insurance: 1 year (Preferred)
X-Ray: 1 year (Preferred)
Work Location: Remote
Apply Job!