Dental Reviewer (PRN) (Remote in Arkansas)

Join Acentra Health as a Dental Reviewer (PRN) (Remote in Arkansas).

Company Overview

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. We offer unparalleled opportunities for you to take charge of your career and accelerate better outcomes.

Job Summary And Responsibilities

Acentra Health is looking for a Dental Reviewer - PRN (Remote within Arkansas) to join our growing team.

• The purpose of the Dental Reviewer is to assess patient records to verify that the provided treatment adheres to the plan guidelines and is appropriate for the condition.

Responsibilities

• Review patient charts, x-rays, and other related records to ensure that the treatment provided is in line with the guidelines of the plan.
• Check preauthorization paperwork to ensure that the intended treatment meets the criteria of the dental plan.
• Maintain accurate and detailed records of the work performed in databases.
• Communicate with provider offices to obtain additional information as necessary.
• Respond promptly to inquiries from internal and external customers.
• Enter new authorization determinations, guidelines, and reasons for denial into company systems.
• Stay current on knowledge and understanding of dental plans and coverage.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

Qualifications

Required Qualifications/Experience

• Active, unrestricted, Registered Licensed Dental Hygienist (RDH) issued by the Arkansas State Board of Dental Examiners.
• Current X-Ray license.
• 5+ years of experience in a clinical dental role (e.g., Dental Hygienist (RDH), Registered Dental Assistant (RDA).

Preferred Qualifications/Experience

• Strong ability to communicate effectively with people from diverse backgrounds.
• Excellent organizational and interpersonal skills.
• Knowledge of dental procedures, terminology, and CDT codes.
• Excellent problem-solving skills to diagnose problems accurately.
• Ability to work efficiently in a team environment.
• Proficiency in Microsoft Word, Excel, and other applications.

Why us

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry.

We offer meaningful work that genuinely improves people\'s lives across the country. We care about our employees and give you the tools and encouragement you need to achieve the finest work of your career.

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

The pay range for this position is USD $29.69 - USD $37.12 /Hr.