Dental Utilization Management Reviewer
Blue Cross Blue Shield of Massachusetts(1 month ago)
About this role
A Dental Utilization Reviewer at Blue Cross Blue Shield of Massachusetts is a clinician in the Dental Utilization Management division who evaluates submitted dental clinical documentation to inform coverage determinations. The role supports the application of dental policy and benefit guidelines within a health insurance context and interacts with internal and external stakeholders.
Required Skills
- Dental Radiography
- Utilization Review
- Claims Review
- Policy Interpretation
- Clinical Documentation
- Microsoft Excel
- Microsoft Access
- Communication
- Problem Solving
- Detail Orientation
Qualifications
- MA Registered Dental Hygienist
- MA Certified Dental Assistant
- High School Degree
About Blue Cross Blue Shield of Massachusetts
bluecrossma.orgBlue Cross Blue Shield of Massachusetts brings health insurance plans, medical claims, insurance coverage, benefits and telehealth via MyBlue Web & App
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