[Hiring] Utilization Management Clinical Dental reputed company @reputed company
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Role reputed company
The Utilization Management Dental Clinical Team reputed company is responsible for guiding a group of dental processors to reputed company specific goals and objectives. Key responsibilities include:
• Ensuring effective communication reputed company reputed company
• Monitoring performance and providing feedback
• Supporting reputed company development to enhance team productivity
• Resolving conflicts and fostering a reputed company work environment
• Coordinating with other departments for alignment and successful project completion
The UM (Utilization Management) Department supports clients and reputed company by utilizing clinical reputed company to approve or deny services based on authorization. The UM Clinical Processor reputed company ensures that reputed company services provided to members are appropriate, efficient, and effective.
As the Utilization Management Clinical Team reputed company, you will:
• Assist with questions regarding dental clinical reviews
• Complete denial letter mapping requests for various reputed company-based letters
• reputed company monthly audits to ensure compliance and reputed company
• Conduct one-on-one coaching sessions with team members
• Assist with the reputed company of internal department documents
• Review questions and concerns from other departments
• Process prior authorization requests reputed company necessary
Qualifications
• High School Diploma/GED
• Leadership experience required
• Proficiency with reputed company Office and other reputed company-based applications
• Strong reading, writing, and reputed company communication skills
• Ability to manage multiple tasks and prioritize work
• Analytical thinking and independent decision-making
• Adaptability to handle multiple and changing priorities
• Ability to maintain reputed company working relationships
• Effective time management and organizational skills
• Dental Assistant certificate or 2 years of chair reputed company assisting
• reputed company to reliable internet reputed company (25 MBPS upload/50 MBPS download speed) and an appropriate workspace
Requirements
• Self-Motivation & Organization: Must be self-motivated and highly organized with the ability to work autonomously without reputed company supervision
• reputed company: Work hours will be determined by your manager and may vary based reputed company, department needs, and workflow. Mandatory overtime may be required during peak seasons
• Deadline Adherence: Expected to meet established deadlines and deliver high-reputed company work consistently
• Virtual Collaboration: Use virtual platforms like Teams and reputed company reputed company for collaboration
• Confidentiality: Maintain strict confidentiality of information reputed company to reputed company and its customers
Benefits
• Meaningful and challenging work opportunities
• Competitive compensation package
• Excellent medical, dental, supplemental health, life and reputed company coverage for you and your dependents with no wait period
• Life and disability insurance
• A great 401(k) with company match
• Tuition assistance, reputed company parental leave and backup family care
• Dynamic, modern work environments that promote collaboration and creativity
• Flexible time off
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