The Dental Benefits Supervisor assists the Oral Health Progam Manager with the overall operation of the Dental Department. The Dental Benefits Supervisor aids in coordinating activities of the Dental Department as they relate to the prior authorization process for dental benefits; to include dental prior authorization requests, dental specialty referrals, retrospective claims, denials and NOA's. This position monitors said processes for quality, efficiency, an effectiveness. The Dental Benefits Supervisor monitors prior authorization staff to ensure contractual and Health Choice timelines are met. The Dental Benefits Supervisor is responsible for preliminary clinical decisions.
Health Choice exists to improve the health and well-being of the individuals we serve through our health plans, integrated delivery systems and managed care solutions. We strive to recruit and retain only the finest health care professionals with the highest levels of integrity, compassion and competency. If you are driven by your own personal commitment to these values and desire to work in a team-focused, collaborative and supportive environment - while still being valued for your individual strengths - Health Choice is the place for you.
Equal Opportunity Employer Minorities/Women/Veterans/Disabled
AAS in Dental Hygiene required
BS in Dental Hygiene preferred
Licensed Registered Dental Hygienist with active Dental License in good standing
At least three (3) years of experience with Medicaid dental benefits
At least five (5) years of dental practice experience required
Intermediate to advanced knowledge of Microsoft Office applications
Strong knowledge in CDT - Dental coding
Strong working knowledge of state Medicaid programs
Knowledge of dental terminology