Job Details

Company Overview

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.

Job Summary and Responsibilities

Acentra Health is looking for a Dental Reviewer - PRN (Remote within 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.

Qualifications

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).

Preferred Qualifications/Experience:

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

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.

The pay range for this position is USD $29.69 - USD $37.12 /Hr.