Clinical Review Specialist

Job Summary

A company is looking for a Clinical Review Support Specialist.

Key Responsibilities

• Review and authorize dental services based on eligibility and contract requirements
• Read and evaluate x-rays, models, and requests for major dental services
• Resolve claims and prior authorization suspends requiring UM Review

Required Qualifications and Education

• High School Diploma or equivalent
• 1 year of dental assisting experience
• Previous dental insurance experience is a plus
• Ability to read and interpret x-rays and dental models
• Ability to work without supervision