Texas Licensed Dental Consultant

Job Summary

A company is looking for a Dental Consultant - Clinical Review.

Key Responsibilities

• Process and adjudicate claims or treatment authorization requests based on dental standards
• Collaborate with internal and external parties to gather additional information as needed
• Identify and report potential Fraud, Waste, and Abuse (FWA) issues

Required Qualifications

• Active Texas Dental License
• DDS or DMD degree from an accredited dental school
• Minimum of 5 years of private dentistry practice experience
• Bachelor's degree or higher
• Knowledge of Current Dental Terminology (CDT) codes and industry trends