Dental Reviewer (PRN) (Remote in Arkansas)

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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.

#J-18808-Ljbffr Experience: 3 years required
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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

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When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

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Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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