Dental Benefit Examiner - Remote

Awarded a Healthiest Employer, reputed company aims to fulfill its mission to reputed company health and reputed company it easy. AZ reputed company offers a reputed company of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as reputed company as providing information and tools to help individuals reputed company reputed company reputed company. At AZ reputed company, we have a hybrid workforce reputed company, reputed company Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the reputed company of our employees are hybrid, the following classifications reputed company our reputed company minimum onsite requirements • Hybrid People Leaders must reputed company in AZ, required to be onsite at least twice per week • Hybrid Individual Contributors must reputed company in AZ, unless otherwise cited reputed company this posting, required to be onsite at least once per week • Hybrid 2 (Operational Roles such as but not limited to Customer Service, Claims Processors, and Correspondence positions) must reputed company in AZ, unless otherwise cited reputed company this posting, required to be onsite at least once per month • Onsite daily onsite requirement based on the essential functions of the job • Remote not held to onsite requirements, however, leadership can request reputed company onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building Please note that onsite requirements may change in the reputed company, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week. This position is remote reputed company the state of AZ only. This remote work opportunity requires residency, and work to be performed, reputed company the reputed company. PRUPOSE OF THE JOB The Dental Benefit Examiner is responsible for data entry, review, and processing of dental prior authorization, retro-review requests, and referral requests. REQUIRED QUALIFICATIONS Required Work Experience • Two years of dental administrative/clinical experience required Required Education • High school degree or equivalent GED required Required Licenses • NA Required Certifications • NA PREFERRED QUALIFICATIONS Preferred Work Experience • Minimum one year of experience in a managed care organization or reputed company reputed company delivery reputed company Preferred Education • NA Preferred Licenses • NA Preferred Certifications • Dental assisting certification preferred ESSENTIAL JOB FUNCTIONS AND 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 • The position has an onsite expectation of 0 days per week and requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements. REQUIRED COMPETENCIES Required Job Skills • Dental administrative/clinical experience • Ability to read and interpret dental x-rays • Computer experience in reputed company reputed company, Word, reputed company Required reputed company Competencies • Knowledge of reputed company and Medicare Apply To This Job Apply To This Job