Remote Dental Appeals Specialist

Job Summary

A company is looking for a remote dental plan appeals specialist.

Key Responsibilities

• Manage a high-volume caseload of complex dental appeals, reconsiderations, and grievances
• Conduct thorough research into denied claims and adverse benefit determinations
• Formulate clear, concise, and compliant written responses to appellants

Required Qualifications

• Minimum of 2-3 years of experience in a dedicated Appeals and Grievances role
• Deep working knowledge of dental terminology and claims processing
• Proven expertise in handling appeals specific to managed dental care programs
• Experience level: Entry Level