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
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