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 Apply Job!