Office Manager Dental Assistant Job Posting

Office Manager Dental Assistant Job in Dayton, OH (226096)

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Job Details
Job Id/Status: 226096 / EXPIRED
Job Posted/Updated:08/23/2018
Position:Dental Assistant
Specialty:Office Manager
Job Type:Perm
Days of Week:Mon, Tue, Wed, Thur, Fri
Location: Dayton, OH 45415
Title: Manager, Dental Services Role & Responsibility: ? Interact with providers and staff to manage benefits aligned with State and Federal guidelines, URAC/NCQA regulations and CareSource policies and vision ? Review and revise workflows to maximize efficiencies ? Work closely with the Director of Medical Management and Dental Medical Directors to ensure efficient management of all dental pre-authorizations and referrals to specialists ? Monitor productivity and utilization trends ? Oversee quality activities and ensure audits and staff feedback occur at regular intervals ? Ensure dental pre-authorizations and referrals to specialists are processed in accordance with State and Federally mandated timeliness standards as well as URAC/NCQA standards as applicable ? Ensure that policies and procedures are adhered to and meet State and Federal rules, regulations and requirements ? Regularly report all dental medical management regulatory requirements ? Develop and educate dental prior authorization staff to assure competencies which are appropriate to accomplish duties and responsibilities productively and efficiently ? Ensure compliance with and reporting of all regulatory requirements ? Maintain all medical management reporting ? Analyze and formulate recommendations based on data ? Maintain and update all departmental policies and procedures ? Audit predetermination requests, cases for documentation and integrate reliability per CareSource policy ? Act as liaison with other departments to assist with research and intervention ? Ensure efficient operation of the pre-authorization and referral procedures by educating providers and their staff; communicating issues to the Provider Relations department and participating in ongoing education as necessary ? Perform any other job related instructions, as requested Education/Experience: ? Bachelor of science/arts degree in business, health care administration, or related field or equivalent work experience is required ? Minimum of three (3) years of progressive experience in health care related leadership is required ? Minimum of two (2) years of dental office experience is required ? Five (5) or more years of dental medical management / managed care experience is preferred ? Experience leading business initiatives to drive systemic change is preferred ? Experience in data analysis and trending