Dental Benefit Examiner (Hybrid/Remote)
Granted a Best Boss, Blue Cross Blue Safeguard of Arizona expects to satisfy its main goal to rouse wellbeing and make it simple. AZ Blue offers different medical coverage items and administrations to meet the different requirements of people, families, and little and enormous organizations as well as giving data and devices to assist people with pursuing better wellbeing choices.
This position is remote… inside the province of AZ as it were. This remote work opportunity requires residency, and attempt to be performed, inside the Province of Arizona.
? The Dental Advantage Analyst is answerable for information passage, survey, and handling of dental earlier approval, retro-audit solicitations, and reference demands.
REQUIRED Capabilities
Required Work Insight
? Two years of dental managerial/clinical experience required
Required Instruction
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? Secondary school degree or comparable GED required
Required Licenses
? NA
Required Affirmations
? NA
Favored Capabilities
Favored Work Insight
? Least one year of involvement with an oversaw care association or related medical services conveyance framework
Favored Training
? NA
Favored Licenses
? NA
Favored Confirmations
? Dental helping confirmation liked
Fundamental Work Capabilities and Obligations
? Processes earlier approval solicitations and retro-audits showing last advisor or division assurance, and safely illuminate suppliers regarding choices
? Processes reference demands as per clinical survey rules
? Answers approaching supplier calls to explore, and carry goal to supplier questions, issues, or concerns
? Checks qualification for inclusion of dental advantages to keep away from duplication of administrations and duplication of charging
? Works related to the dental chief by suggesting expert audit when suitable clinical need approval is vital
? Speak with suppliers on part related issues
Skills
REQUIRED Skills
Required Occupation Abilities
? Dental managerial/clinical experience
? Capacity to peruse and decipher dental x-beams
? PC experience in Microsoft Succeed, Word, Viewpoint
Required Proficient Capabilities
? Information on Medicaid and Government health care guidelines and rules
? Information on dental coding and wording
? Information on HIPPA guidelines
Required Authority Experience and Skills
? Compelling time usage abilities
? Compelling relational and relational abilities
? Capacity to focus on work errands to stick to cutoff times and recognized time periods
? Capacity to work helpfully, decidedly, and cooperatively in a group climate
Favored Skills
Favored Occupation Abilities
? NA
Favored Proficient Capabilities
? NA
Favored Authority Experience and Skills
? NA
Our Responsibility
AZ Blue doesn’t segregate in recruiting or work based on race, nationality, variety, religion, sex, sexual direction, orientation personality, public beginning, age, handicap, safeguarded veteran status or some other safeguarded bunch.
Much obliged to you for your advantage in Blue Cross Blue Safeguard of Arizona. For more data on our organization, see azblue.com. Whenever intrigued by this position, kindly apply
