Dental Utilization Management ProcessorVirtualVocations • South Bend, Indiana, United States
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Dental Utilization Management Processor
VirtualVocations • South Bend, Indiana, United States
[job_card.30_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]
A company is looking for a Utilization Management Clinical Processor.
Key Responsibilities
Review dental x-rays and documentation to assess medical necessity for prior authorizations
Conduct initial reviews of medical necessity cases, ensuring compliance with member eligibility and client contracts
Document approval decisions and maintain productivity standards in accordance with departmental requirements
Required Qualifications
High School Diploma / GED
Dental Assistant or Dental Hygienist required
1-2 years of experience reviewing dental x-rays and patient charts
Proficiency with Microsoft Office and other Windows-based applications
Access to reliable internet connection and an appropriate workspace for remote work
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Utilization Management • South Bend, Indiana, United States
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