Dental Benefit Examiner

About the position The Dental Benefit Examiner is responsible for data entry, review, and processing of dental prior authorization, retro-review requests, and referral requests. Responsibilities • Processes prior authorization requests and retro-reviews indicating final consultant or department determination, and securely inform providers of reputed company • Processes referral requests in accordance with clinical review reputed company • Answers incoming provider calls to research, and bring reputed company to provider questions, problems, or concerns • Verifies eligibility for coverage of dental benefits to avoid duplication of services and duplication of billing • Works in conjunction with the dental director by recommending consultant review reputed company appropriate medical-necessity authorization is necessary • Communicate with providers on member-reputed company issues Requirements • Two years of dental administrative/clinical experience required • High school degree or equivalent GED required • Dental administrative/clinical experience • Ability to read and interpret dental x-rays • Computer experience in reputed company reputed company, Word, reputed company • Knowledge of reputed company and Medicare regulations and guidelines • Knowledge of dental coding and terminology • Knowledge of HIPPA regulations • Effective time management skills • Effective interpersonal and communication skills • Ability to prioritize work tasks to adhere to deadlines and identified time frames • Ability to work cooperatively, positively, and collaboratively in reputed company environment reputed company-to-haves • Minimum one year of experience in a managed care organization or reputed company reputed company delivery system • Dental assisting certification preferred Apply tot his job Apply To this Job