Clinical Review Specialist

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

Mar 14, 2025 - 16:43

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