Locum - Dentist - CA
Sterling, Virginia, United States
Job Summary
Occupation
Physician
Specialty
Dermatology
Degree Required
MD/DO
Position Type
Locums/Travel
Work Environment
Hospital
Location
California, California, United States
Visa Sponsorship
No
Job Description
Last Update:
6/26/24
Position: Remote Dentist
Referrals are highly appreciated, and we offer referral bonus for successful placements.
Job Details:
- Manually review of claims, Treatment Authorization Requests (TARs) and related documents for California
- Medi-Cal members for adjudication, ensuring adherence to Medi-Cal Dental policies and procedures.
- Work within a team of dental consultants, sharing a proportional workload of claims processing and adjudication that have been determined to need professional expertise of an experienced dentist.
- These claims have been referred from other members of the Claims Processing team, and good communication skills are necessary for continuity within the business operations.
- When needed, dental consultants assist with training and orientation of new dental consultants, providing guidance and mentoring, such as job shadowing and coaching.
- Assist fellow dental consultants with complex cases or claims needing a second opinion, including. collaboration for cases involving Medi-Cal Dental Program special needs populations.
- Assist other departments, when requested: a) Clams Processing and Operations, b) Provider and Member Services, c) Grievances/Appeals, d) HR/Onboarding/Interviews, e) Quality Management, f) peer review, and g) referral to/review of findings/adjudications of claims related to Clinical Screening dentist evaluations.
License and Certification:
- Active CA License
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