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

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