Dental Assistant, Scion Dental - Mequon, WI
Description
Essential Job Responsibilities
Description
Essential Job Responsibilities
- Under review of the dental consultant – Review x-rays, patient charts, and other patient records to ensure the treatment/service provided falls within the plan guidelines, and that the service was appropriate for the condition.
- Review preauthorization paperwork to ensure the intended treatment meets the dental plan criteria and relevant program criteria.
- Maintain and update review notes via in the company’s proprietary database.
- Contact dental offices, patients, or client representatives to obtain additional information as needed.
- Respond to dental provider and patient phone, fax, and mail inquiries as needed.
Other Job Responsibilities
- Identify dental provider trends related to over and under utilization of dental services by reviewing various reports, and other relevant data sources.
- Identify cases needing review by the dental review committee and/or Dental consultants.
Requirements
Knowledge/Experience Requirements
Knowledge/Experience Requirements
- High school diploma/GED
- 1-3 years of job related experience in a clinical dental role (i.e. Dental Assistant, Ortho Assistant etc).
- Dental Assistant certification preferred.
