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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