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Dental Consultant Dentist - Oral Surgeon
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$165,900
- Works within a team of dental consultants, including other OMS, sharing a proportional workload of prior authorization and/or claims processing that have been determined to need professional expertise of an experienced OMS. These claims have been referred from other members of the Claims Processing team, usually involving special needs patients, and good communication skills are necessary for continuity within the business operations.
- When needed, OMS dental consultants assist with training and orientation of new dental consultants, providing guidance and mentoring, such as job coaching and peer interaction including assistance with complex cases or claims.
- Assists other departments, when requested: a) Claims Processing and Operations, b) Provider and Member Services, c) Grievances/Appeals, d) HR/Onboarding/Interviews, e) Quality Management, f) Peer review, and g) Providing findings to the claims processing team and/or adjudication of claims related to OMS cases.
- What we're looking for A minimum of ten (10) years of prior hands-on, clinical experience as an OMS Specialist delivering dental services.
- Prior adjudication and claims processing for the Medi-Cal Dental Program in California is a plus, but not a requirement.
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