Nebraska Licensed Dental Claims Examiner

A company is looking for a Sr Dental Claims Examiner who utilizes clinical knowledge of dentistry to perform initial screenings for dental claims. Key Responsibilities Perform initial screening for dental claims requiring utilization review according to clinical criteria Serve as liaison between customer service/claims department and dental consultants for utilization review processes Monitor dental provider patterns and ensure compliance with state and federal regulations Required Qualifications Post-secondary training or two years clinical experience as a Dental Assistant or Dental Hygienist required Completion of Radiology Training is mandatory 1-3 years of Dental Assistant, Hygienist, or related clinical experience required Insurance industry experience preferred

Apr 11, 2025 - 06:36
 0
Nebraska Licensed Dental Claims Examiner
A company is looking for a Sr Dental Claims Examiner who utilizes clinical knowledge of dentistry to perform initial screenings for dental claims. Key Responsibilities Perform initial screening for dental claims requiring utilization review according to clinical criteria Serve as liaison between customer service/claims department and dental consultants for utilization review processes Monitor dental provider patterns and ensure compliance with state and federal regulations Required Qualifications Post-secondary training or two years clinical experience as a Dental Assistant or Dental Hygienist required Completion of Radiology Training is mandatory 1-3 years of Dental Assistant, Hygienist, or related clinical experience required Insurance industry experience preferred