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State Licensed Dental Claims Examiner
A company is looking for a Sr Dental Claims Examiner to utilize clinical knowledge of dentistry for dental claims processing. Key Responsibilities Perform initial screening for dental claims requiring utilization review according to clinical criteria Serve as a liaison between the customer service/claims department and dental consultants for claims that do not meet clinical criteria Evaluate claim discrepancies and ensure accurate processing while resolving inquiries and problems Required Qualifications Post-secondary training or two years clinical experience as a Dental Assistant or Dental Hygienist Completion of Radiology Training 1-3 years of Dental Assistant, Hygienist, or related clinical experience Insurance industry experience preferred
A company is looking for a Sr Dental Claims Examiner to utilize clinical knowledge of dentistry for dental claims processing.
Key Responsibilities
Perform initial screening for dental claims requiring utilization review according to clinical criteria
Serve as a liaison between the customer service/claims department and dental consultants for claims that do not meet clinical criteria
Evaluate claim discrepancies and ensure accurate processing while resolving inquiries and problems
Required Qualifications
Post-secondary training or two years clinical experience as a Dental Assistant or Dental Hygienist
Completion of Radiology Training
1-3 years of Dental Assistant, Hygienist, or related clinical experience
Insurance industry experience preferred