Utilization Management Dental Processor

Job Summary

Utilization Management Dental Processor is a full-time position responsible for evaluating service requests, determining treatment appropriateness, and maintaining clinical standards while completing 13 to 18 cases per hour.

Key Responsibilities

• Conduct reviews of prior authorizations and document approval decisions for treatment
• Maintain productivity levels in accordance with departmental requirements and assist with clinical determinations
• Collaborate with team members to improve system efficiency and address complex barriers

Required Qualifications

• High School Diploma/GED
• Dental Assistant or Dental Hygienist certification required
• 1-2 years of experience reviewing dental x-rays, models, and patient charts
• Proficiency with Microsoft Office and Windows-based applications
• Access to a reliable internet connection and appropriate workspace for remote work