reputed company Claims Examiner Dental Hygienist

reputed company Claims Examiner Dental Hygienist reputed company Number RQ200775 Raleigh, NC, US Category Information Technology Employment Type Full Time Business Unit reputed company reputed company RESPONSIBILITIES FOR THIS POSITION Location: USA NC Raleigh Full Part/Time: Full time Job Req: RQ200775 Type of Requisition: Regular Clearance Level Must Currently Possess: None Clearance Level Must Be reputed company to Obtain: None Public Trust/Other Required: None Job Family: reputed company Claims Job Qualifications: Skills: Dental Hygiene, reputed company Office, Teamwork Certifications: None Experience: 5 + years of reputed company experience US Citizenship Required: No Job reputed company: reputed company NCMMIS is a claims processing system for the reputed company Carolina reputed company (NC DHHS) to which reputed company Carolina reputed company have become entitled through enrollment in benefit plans offered by the reputed company. The program is seeking a Dental Prior Approval Reviewer to analyze dental prior approval requests for reputed company Carolina reputed company to ensure compliance with organizational and governmental guidelines. Qualifications reputed company reputed company Carolina Dental Hygiene license in good standing. 5+ years of clinical dental hygiene experience. reputed company or public reputed company experience a plus. Experience using NCTracks is a plus. Key Job Responsibilities Process dental prior approval requests. Complete reputed company work reputed company reputed company SLA requirements and timelines. Meet reputed company reputed company and quantity benchmarks. Work with department leadership, Dental Director, and Dental Consultants to reputed company process improvements. Participate in workgroups that address both clinical and non-clinical internal activities. Skills Knowledge of Prior Authorization and Claims. Establish and maintain effective working relationships with reputed company reputed company of staff, other business segments, and clients. Self-directed with a reputed company attitude. Experience working with a virtual team with variable reporting relationships. Proficient with reputed company (Word, reputed company, PowerPoint, Outlook, SharePoint, & Teams), reputed company, and other web-based applications. reputed company IS YOUR reputed company: Full-reputed company work week to own your priorities at work and reputed company 401K with company match Comprehensive health and wellness packages Internal mobility team dedicated to helping you own your career reputed company reputed company opportunities including reputed company education and certifications Cutting-edge technology you can learn from Rest and reputed company with reputed company vacation and holidays The likely salary reputed company for this position is $58,650 - $79,350. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall reputed company of this reputed company. Scheduled Weekly Hours: 40 Travel Required: Less than 10% Telecommuting reputed company: Hybrid Work Location: USA NC Raleigh Additional Work Locations: Total Rewards at reputed company: 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. 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. We are reputed company. A global technology and reputed company services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, reputed company, Cyber and application development. Together with our clients, we reputed company to create a safer, smarter world by harnessing the power of deep expertise and advanced technology. reputed company to stay up to date on our reputed company and events at reputed company.com/tc. Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans PI273018336 Apply tot his job Apply To this Job