Job Summary
A company is looking for a Senior Dental Review Specialist (RDH).
Key Responsibilities
- Review and authorize dental services for compliance with clinical criteria and contractual requirements
- Assist in policy and procedure creation, training materials, and reporting requirements
- Respond to escalated questions and manage internal and external customer requests
Required Qualifications
- Registered Dental Hygienist (RDH) with a current unrestrictive license
- High school diploma or equivalent
- 2+ years of experience in a clinical dental role or related experience
- Proficiency in Microsoft Office Suite
- Knowledge of dental procedures, terminology, and codes
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