Avesis

Utilization Management Clinical Dental Processor

Remote, USA

Sponsorship not specified$13k-$18kDetected 7 days ago

ICD-10LeadershipCommunicationCollaborationCritical ThinkingTime ManagementAdaptabilityOrganizational SkillsMicrosoft OfficeMicrosoft Teams

About the role

As a Utilization Management Clinical Dental Processor, you will leverage your professional judgment to evaluate service requests and determine their appropriateness, assessing the necessity of treatments prior to provision.
Additionally, you will complete clinical scripts, review patient histories, and import supporting documentation into our internal system.
Work hours will be determined by your manager and may vary based on location, department needs, and workflow.

Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.

Proficiency with Microsoft Office and other Windows-based applications
Must be self-motivated and highly organized with the ability to work autonomously without direct supervision
Ability to convey information and engage an audience in a professional setting.
ability to relay issues, concepts, and ideas to others easily orally and in writing.
acting with a clear sense of ownership for actions, decisions and to keep information confidential when required.

X-Ray certification is highly preferred.
Knowledge of Medicare, Medicaid, or commercial insurance
Experience with HCPCS, CPT, CDT, and ICD-10 coding
Base pay within the range is ultimately determined by a candidate's skills, expertise, or experience.
In the United States, we have three geographic pay zones.
For this role, our current pay ranges for new hires in each zone are:
Zone A: $18.33-$30.55Zone B: $19.97-$33.29Zone C: $21.50-$35.84FLSA Status: Hourly/Non-Exempt
Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.

At Avēsis, we strive to design equitable, and competitive compensation programs.

Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
Life and disability insurance.
Tuition assistance, paid parental leave and backup family care.
We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.
Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.

At Avēsis, We See You.
We celebrate differences and are building a culture of inclusivity and diversity.
We are proud to be an Equal Employment Opportunity employer that considers all qualified applicants and does not discriminate against any person based on ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity, marital status, military or veteran status, national origin, race, religion, sexual orientation, or any other characteristic.
At Avēsis, we believe that, to operate at the peak of excellence, our workforce needs to represent a rich mixture of diverse people, all focused on providing a world-class experience for our clients.

y employer that considers all qualified applicants and does not discriminate against any person based on ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity,

This listing is sourced directly from Avesis's careers page and normalized into a canonical job model.