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Telecommute Appeals and Grievances Dentist Reviewer

Job is Expired
Location: Central Time, Eastern Time
Compensation: To Be Discussed
Staff Reviewed: Wed, Dec 22, 2021
Job Category: Healthcare
Weekly Hours: Full Time
Employer Type: Employer
Career Level: Experienced

Job Summary

A global healthcare company has a current position open for a Telecommute Appeals and Grievances Dentist Reviewer.

Core Responsibilities Include:

  • Performing individual case review for appeals and grievances
  • Helping develop policies and procedures related to Appeals and Grievances by providing clinical and strategic input
  • Resolving Clinical Appeals and Grievances disputes with dental providers

Qualifications Include:

  • Dental degree from an Accredited Dental School
  • Active dental license in the State of Residence
  • 5+ years of experience in a dental practice
  • Ability to pass a credentialing review for practice experience
  • Experience with Fraud, Waste and Abuse investigations
  • Proficient with Microsoft Word, PowerPoint, Excel

COMPLETE JOB DESCRIPTION

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