Job Responsibilities : Dental Consultant – Work from home
Salary : $23 per hour
Company : Cigna
Location : Remote US
The Dental Consultant is responsible for reviewing dental
claims and predetermination treatment plans involving dental
services to determine reasonableness of treatment as it relates
to plan contract provisions, dental plan benefits and claims
administration policies, and dental standards of practice.
The Consultant may review radiographic images, chart notes,
narratives, periodontal charting, and other diagnostic tools to
determine if there is sufficient clinical documentation to
warrant treatment.
The consultant will be responsible to review appeal requests.
The consultant will help to identify trends, educational needs
and corrective actions related to the structure and delivery of
care by health care professionals.
Qualifications:
Must maintain an active dental license to practice dentistry in
one of the US States.
The individual must have experience in private practice outside
of academia for minimum of five (5) years.
Requires a thorough knowledge of oral health care and experience
in the practice of Dentistry.
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