Clinical Review Specialist

6 days ago


Adelaide, South Australia Dental Corporation Full time
Job Description

Job Title: Clinical Review Specialist

Job Summary:

We are seeking a highly skilled Clinical Review Specialist to join our team at Dental Corporation. As a Clinical Review Specialist, you will be responsible for conducting thorough reviews of medical claims to ensure compliance with our policies and procedures.

Key Responsibilities:

  • Conduct thorough reviews of medical claims to ensure compliance with our policies and procedures
  • Investigate and analyze claims data to identify potential issues or discrepancies
  • Communicate with customers and healthcare providers to resolve claims issues and provide clear explanations of our review process
  • Collaborate with our team to identify opportunities for process improvements and implement changes to enhance our claims review process
  • Stay up-to-date with changes in medical policies and procedures to ensure our review process remains current and accurate

Requirements:

  • Strong analytical and problem-solving skills
  • Excellent communication and interpersonal skills
  • Ability to work independently and as part of a team
  • Strong attention to detail and organizational skills
  • Ability to maintain confidentiality and handle sensitive information

What We Offer:

  • A competitive salary and benefits package
  • Opportunities for professional growth and development
  • A dynamic and supportive work environment
  • Recognition and rewards for outstanding performance

About Us:

Dental Corporation is a leading provider of healthcare services, dedicated to delivering high-quality care to our customers. We are committed to creating a positive and inclusive work environment that values diversity and promotes employee well-being.


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