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Dentist Job Posting

All Job Postings > California > Los Angeles CA > Dentist >  Dentist Job (ID: 504333)
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Dentist Job in Remote, California

(Job ID: 504333)

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Location

Remote, California 90025

Details

DATE POSTED/UPDATED

Jun 05, 2024

JOB TYPE

Permanent

COMPENSATION

Base Salary

Not Provided

DAYS OF WEEK

Mon,Tue,Wed,Thur,Fri

JOB ID / STATUS

#504333 Active

Description

Remote Dentists with an active CA License Location: Anywhere in US #Positions = 10+ #Duration = 6+ months - 40 Hours per week Referrals are highly appreciated, and we offer referral bonuses for successful placements. Job Details: Manual review of claims, Treatment Authorization Requests (TARs), and related documents for California Ensure adherence to Medi-Cal Dental policies and procedures for adjudication Work within a team of dental consultants, sharing a proportional workload of claims processing and adjudication that has been determined to need the professional expertise of an experienced dentist. These claims have been referred by other members of the Claims Processing team, and good communication skills are necessary for continuity within the business operations. When needed, dental consultants assist with the training and orientation of new dental consultants, providing guidance and mentoring, such as job shadowing and coaching. Assist fellow dental consultants with complex cases or claims needing a second opinion, including collaboration for cases involving Medi-Cal Dental Program special needs populations. Assist other departments, when requested: a) Claim Processing and operations; b) Provider and Member services; c) Grievances/Appeals d) HR/Onboarding/interviews e) Quality management f) Peer review g) referral to/review of findings/adjudications of claims related to Clinical Screening dentist evaluations. License and Certification: Active CA License

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