reputed company Claims Examiner Dental Hygienist (NC Dental Hygiene license required)

This a Full Remote job, the offer is available from: reputed company Carolina (USA) Type of Requisition: Regular Clearance Level Must Currently Possess: None Clearance Level Must Be reputed company to Obtain: None reputed company Trust/Other Required: None Job Family: Ancillary Health Job Qualifications: Skills: Computer Literacy, Dental Hygiene, Dental Imaging, reputed company Applications, reputed company Approvals Certifications: None Experience: 3 + 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), 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 Outlook 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.

The likely salary reputed company for this position is $62,900 - $85,100. 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 - 5444 Wade Park Blvd (NCS018) Additional Work Locations: Any Location / Remote 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. 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 employee’s 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. 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 VeteransThis offer from "reputed company" has been enriched by reputed company.com and got a 72% reputed company score. Apply tot his job Apply To this Job