Western Dental

Dental Consultant

Job Locations US-CA-Orange
ID
2024-17901
Category
Corporate Support
Position Type
Doctor Full-Time
Company Brand
Western Dental & Orthodontics

Overview

Western Dental Services Inc. is looking for a full-time Dental Consultant to join our Qualtity Management Team! Our Dental Consultants perform clinical chart reviews, provide mentoring to our dentists, and much more!

Responsibilities

  • Reviews dental charts for potential quality issues.
  • Reviews referral, pre-authorizations, and claims requests for appropriate approval or denial of benefits.
  • Review of patient/member grievances and assistance with preparing resolutions.
  • Participates in committees and activities related to credentialing, peer review, quality improvement, utilization review and others, as needed.
  • Provides clinical mentoring to company-employed and contracted dentists.

Qualifications

  • A minimum of 5 years clinical experience.
  • Must have and continuously maintain an active, unencumbered California Dental License.
  • CADP Certified Auditor (can be earned upon being hired).
  • Dedication to excellent service.
  • Ability to work in a regulatory environment with very strict timeliness and accruacy requirements.
  • Ability to work ina fast paced, professional environment.
  • Ability to meet required deadlines.
  • Excellent verbal and written communication.
  • Proficient use of Microsoft Office (Word, Excel, and Outlook).

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