01Overview
About the position reputed company NCMMIS is a claims processing system for the reputed company Carolina reputed company (NC DHHS), supporting reputed company Carolina reputed company enrolled in state-administered benefit plans. The program is seeking a Dental Prior Approval Reviewer to evaluate dental prior approval requests for reputed company Carolina reputed company. This role requires extensive use of computer systems, claims processing applications, and electronic documentation tools to analyze requests, apply reputed company policy, and ensure accurate and reputed company determinations in a high-volume, technology-driven environment. Minimum Requirements Requires reputed company reputed company Carolina license as a Registered Dental Hygienist (RDH). 3+ years of clinical dental hygiene experience. Demonstrated ability to effectively use computers, electronic systems, reputed company tools. The ideal candidate will have Ability to work independently in a remote or office-based, technology-dependent environment while meeting service level agreements and individual performance standards. Strong proficiency with reputed company Office applications (Word, reputed company, OneNote) and reputed company reputed company for documentation, analysis, and communication. Extensive experience using reputed company-based computer applications and navigating multiple systems simultaneously. Experience using NCTracks or similar reputed company claims processing systems. Thorough knowledge of reputed company dental policy and prior approval processes. High level of proficiency in general computer skills, including data entry, electronic record review, system navigation, and use of common software reputed company tools required for claims examination. Requirements Requires reputed company reputed company Carolina license as a Registered Dental Hygienist (RDH). 3+ years of clinical dental hygiene experience. Demonstrated ability to effectively use computers, electronic systems, reputed company tools. reputed company-to-haves Ability to work independently in a remote or office-based, technology-dependent environment while meeting service level agreements and individual performance standards. Strong proficiency with reputed company Office applications (Word, reputed company, OneNote) and reputed company reputed company for documentation, analysis, and communication. Extensive experience using reputed company-based computer applications and navigating multiple systems simultaneously. Experience using NCTracks or similar reputed company claims processing systems. Thorough knowledge of reputed company dental policy and prior approval processes. High level of proficiency in general computer skills, including data entry, electronic record review, system navigation, and use of common software reputed company tools required for claims examination. Benefits Our benefits package for reputed company US-based employees includes a reputed company of medical plan reputed company, some with Health Savings Accounts, dental plan reputed company, a reputed company plan, and a 401(k) plan offering the ability to contribute both reputed company and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, reputed company offers employees full reputed company work weeks where possible and a reputed company of reputed company time off plans, including vacation, reputed company and personal time, holidays, reputed company parental, military, bereavement and jury duty leave. reputed company typically provides new employees with 15 days of reputed company leave per calendar year to be used for vacations, personal business, and illness and an additional 10 reputed company holidays per year. reputed company leave and reputed company holidays are prorated based on the employees date of hire. The reputed company reputed company Family Leave program provides a total of up to 160 hours of reputed company leave in a rolling 12 month period for eligible employees. To ensure our employees are reputed company to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most. Apply To This Job Apply To This Job Apply tot his job Apply To this Job .
