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Company:
Cynet locums
Category:
Medical
Posted: June 29, 2024
Title: Dental Assistant/Hygienist - Remote
Shift: 8am-5pm, Monday-Friday
Description:
- Evaluate dental claims, adjustments, and prior authorization requests against Medi-Cal Dental criteria.
- Generate requests to dental providers for missing claims information.
- Confirm that claims documentation is complete, and complies with policy, and refer documents to dental professionals when required.
- Monitor members actively receiving appropriate care/scheduled care and ensure they complete their goals.
- Maintain and record decisions, actions, and outcomes for members receiving care coordination.
- Set up tasks, reminders, and follow-ups on missed appointments
What we're looking for:
- Graduate from an accredited dental assistant school or two (2) years of prior experience working in a dental office (dental assistant, registered dental assistant, registered dental hygienist, etc).
- Two (2) years prior experience in a dental billing and claims processing environment.
- Expertise to support treatment authorization requests (TAR) and claims adjudication, including familiarity with principles of dental radiography, such as orientation and tooth/structure identification.
Your role in our mission:
- Evaluate dental claims, adjustments, and prior authorization requests against Medi-Cal Dental criteria.
- Generate requests to dental providers for missing claims information.
- Confirm that claims documentation is complete, and complies with policy, and refer documents to dental professionals when required.
- Monitor members actively receiving appropriate care/scheduled care and ensure they complete their goals.
- Maintain and record decisions, actions, and outcomes for members receiving care coordination.
- Set up tasks, reminders, and follow-ups on missed appointments
Associated topics: dental biller, certified dental assistant, clinical, clinical assistant, dental assistant, efda, oxide, radiographer, steps, x ray
Read the full job description and apply online on the recuiter's web-site
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