Remote Dental Hygienist (Utilization Reviews) ONSITE TRAINING!

Job Title: Remote Dental Hygienist (Utilization Review/Prior Auths)

Location: 5-8 weeks training onsite in Harrisburg, PA then remote!

Shift: MON-FRI 8am-4pm

Pay: $34.00/hr.

Scheduled Pay: Bi-Weekly

Benefits: Health, Dental, Vision, Life Insurance, and short-term disability after 90 days

For more information, please contact Breanna Drollinger Direct Line at 586-710-7972 (call /text)

Dental Hygienist Description/Duties

• Conduct retrospective reviews to determine if dental services were provided, billed, and paid in accordance with applicable state and federal regulations through research, analysis and application of regulations, policies, and standards of care
• Evaluate the appropriateness of care, including medical necessity, place of service, quantity, quality, and compensability of services ordered and provided to recipients in the Fee-for-Service and Managed Care delivery systems
• Review claims and encounters to identify those providers/recipients whose billing/service patterns indicate fraud/waste/abuse
• Review medical and fiscal records to determine if records were properly maintained, reflect services rendered and meet required standards of practice

Dental Hygienist Requirements

• Possess a current active Pennsylvania Dental Hygienist license in good standing
• Demonstrate an understanding of utilization review processes
• High School Diploma or GED

JOB ID# 735707

Keywords: dental hygienist, remote, work from home, onsite training, utilization review, prior authorization, medical necessity, place of service, fee-for-service, managed care, analysis, application of regulations, appropriateness of care, policies, services ordered