Review dental x-rays and documentation to assess medical necessity for prior authorizations based on clinical criteria. Ensure compliance with member eligibility and client contracts while maintaining high productivity standards.
Avesis
5 Remote Job Openings at Avesis
The Region Supervisor is responsible for the operational leadership and development of the Account Management team, ensuring high-quality service and achievement of departmental goals. They also manage a portfolio of strategic employer groups, focusing on relationship management and customer satisfaction.
Regional Sales Manager, Northeast Region - OH, PA, MD, DC, VA
Avesis
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Full Time
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3 months ago
Avesis
Responsible for driving new business growth by selling commercial vision and dental programs to small and mid-group employers. This includes managing distribution partner relationships, delivering competitive proposals, and collaborating with internal teams to ensure smooth client onboarding.
The specialist will handle 40-60 inbound calls daily, addressing inquiries of routine to moderate complexity regarding dental benefits for Medicaid recipients, while accurately capturing and updating member information in systems. They must investigate and collaborate with internal teams to ensure issues are resolved, providing compassionate support and expert guidance to members accessing essential dental care services.
The specialist will handle 40-60 inbound calls daily, addressing inquiries of routine to moderate complexity regarding dental benefits for Medicaid recipients and ensuring accurate system data capture. They must investigate and collaborate with internal teams to resolve member issues, ensuring follow-up until a solution is provided.
