Dental Configuration Specialist
Job Summary
A company is looking for a Facets Dental Configuration Specialist.
Key Responsibilities
- Lead client discussions to gather requirements for GCP, Billing, Benefits, and Pricing Configuration
- Design and develop Dental Benefit and Pricing Configuration solutions
- Conduct backend SQL queries to validate configuration accuracy and ensure correct claim processing behavior
Required Qualifications
- 10+ years of hands-on experience in Facets Dental Configuration
- Extensive knowledge of Dental Authorizations, Pre Determinations, and Dental Utilization Edits
- Strong understanding of Medicare, Medicaid, and commercial lines of business
- Advanced proficiency with the Facets backend data model and SQL
- Experience with dental claims processing and Coordination of Benefits (COB)
COMPLETE JOB DESCRIPTION
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