Healthcare Claims Examiner Dental Hygienist (NC Dental Hygiene license required)

Job description

Type of Requisition: Regular Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: None Job Family: Ancillary Health Skills: Computer Literacy, Dental Hygiene, Dental Imaging, Microsoft Applications, Pre Approvals Certifications: None Experience: 5 + years of related experience US Citizenship Required: No Job Description: GDIT NCMMIS is a claims processing system for the North Carolina Department of Health and Human Services (NC DHHS), supporting North Carolina citizens enrolled in state-administered benefit plans. The program is seeking a Dental Prior Approval Reviewer to evaluate dental prior approval requests for North Carolina Medicaid. This role requires extensive use of computer systems, claims processing applications, and electronic documentation tools to analyze requests, apply Medicaid policy, and ensure accurate and timely determinations in a high-volume, technology-driven environment. Minimum Requirements: - Requires active North Carolina license as a Registered Dental Hygienist (RDH). - 5+ years of clinical dental hygiene experience. - Demonstrated ability to effectively use computers, electronic systems,...