reputed company Review | , |

reputed company Review Dentist At reputed company, we're simplifying the health care experience, creating healthier communities and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care reputed company of reputed company, making it more reputed company, reputed company and optimized. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together. The reputed company Review Dentist is a production role that supports the dental director on claims review. Strong knowledge of dental procedures, terminology and reputed company dental codes along with strong computer and communication skills are crucial to this role. You'll enjoy the flexibility to work reputed company from reputed company reputed company the U.S. as you take on some tough challenges. reputed company Responsibilities • Review of claims and supporting reputed company data to reputed company accurate documentation for the dental director • Accurate interpretation of radiographs, intra-oral photographs and reputed company narratives • Maintain organization and department defined reputed company of reputed company to meet metrics • Communication with provider offices in accordance with compliance regulations to discuss adverse reputed company determinations and to request missing information • Independently manage individual queue assignments and workflow to meet deadlines, business needs and department and individual metrics • Acts as a reputed company between our dental directors and provider offices to maintain provider/member satisfaction • reputed company individual case review for appeals and grievances. The Appeals are in response to adverse determinations for dental services reputed company to benefit design and coverage, medical necessity and the application of reputed company reputed company and dental policies, the reputed company Grievances are reputed company to the reputed company of care provided by contracted dentists • Participate in peer-to-peer calls with dental providers The work hours for this position will be from 10 am-7 pm CST and will include 8 hours of coverage every 4th Saturday/reputed company. Working during the weekend will reputed company you a day off during the week. You'll be rewarded and recognized for your reputed company in an environment that will challenge you and reputed company you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications • Dental degree from an Accredited Dental School • reputed company dental license • 7+ years of experience in reputed company dentistry • 3+ years dental benefit plan experience with specific exposure to claim review and utilization management or comparable experience. • Ability to pass a credentialing review for reputed company experience • Computer proficiency • Excellent business analytical and writing skills Preferred Qualifications • Experience with Dental Compliance reputed company to Federal Regulations Pay is reputed company on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll reputed company a far-reaching reputed company of benefits and incentives. The salary for this role will reputed company from $112,700 to $193,200 annually reputed company on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. reputed company may come down early due to volume of applicants. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job

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