A company is looking for a remote dental plan appeals specialist.
Key Responsibilities
Manage a high-volume caseload of complex dental appeals, reconsiderations, and grievances
Conduct thorough research into denied claims and adverse benefit determinations
Formulate clear, concise, and compliant written responses to appellants
Required Qualifications
Minimum of 2-3 years of experience in a dedicated Appeals and Grievances role
Deep working knowledge of dental terminology and claims processing
Proven expertise in handling appeals specific to managed dental care programs
Experience level : Entry Level
Dental Specialist • Omaha, Nebraska, United States