Dental Reviewer (PRN) Must be able to work Weekends (Remote in Arkansas, preferred)

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. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra Health is looking for a Dental Reviewer (PRN) Must be able to work Weekends (Remote in Arkansas) to join our growing team.

Job Summary:

• 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.

** Weekends are required, other Weekdays as needed. ** 

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)].
• Weekends are required, and other Weekdays as needed.

Preferred Qualifications/Experience:

• Strong ability to communicate effectively with people from diverse backgrounds.
• Excellent organizational and interpersonal skills.
• Knowledge of dental procedures, terminology, and Current Dental Terminology (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.

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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. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at Acentra Health 

EEO AA M/F/Vet/Disability

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.

Compensation

The pay range for this position is listed below. 

“Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”