Healthcare Claims Examiner - Dental Hygienist

Clearance Level None Category Ancillary Health Location Remote, Working from the USA *(**Hybrid Workplace**)* Key Skills For Success Claims Processing Computer Literacy Dental Hygiene Independent Thinking Microsoft Office ##### **REQ\#:****RQ228360** ##### **Public Trust:****None** ##### **Requisition Type:****Regular** ##### **Your Impact** Own your opportunity to work alongside state and local government. Make an impact by delivering solutions and services that secure our communities and make a difference in people’s lives every day. **Job Description** ------------------- GDIT NCMMIS is a claims processing system for the North Carolina Department of Health and Human Services (NC DHHS) to which North Carolina citizens have become entitled through enrollment in benefit plans offered by the State of North Carolina. The program is seeking a Dental Prior Approval Reviewer to analyze dental prior approval requests for North Carolina Medicaid to ensure compliance with organizational and government guidelines. Minimum Requirements: * Requires active North Carolina license as a Registered Dental Hygienist (RDH). * 5\+ years of clinical dental hygiene experience. The ideal candidate will have: * Ability to work independently to meet service level agreements within the contract and individual performance standards. * Proficiency with Microsoft Office (Word, Excel, OneNote, etc.) and Microsoft Outlook email. * Experience using Windows based computer applications. * Experience using NCTracks. * Thorough knowledge of Medicaid policy. * Proficiency in general computer skills, common software, and general digital tools. ### **Work Requirements** Years of Experience 5 \+ years of related experience * may vary based on technical training, certification(s), ***or*** degree Certification Travel Required None ### **Salary and Benefit Information** The likely salary range for this position is $62,050 \- $83,950\. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range. ### **Our Identity Verification Process** As part of the hiring process, we will ask you to complete an identity verification process that leverages advanced biometrics and artificial intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during virtual interviews. We reserve the right to take your picture to verify your identity and prevent fraud. By proceeding, you authorize the collection, processing, and use of your biometric data for identity verification and security purposes. ### **About Our Work** We are GDIT. A global technology and professional services company that delivers technology solutions and mission services to every major agency across the U.S. government, defense and intelligence community. Our 26,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50\+ countries worldwide, offering leading mission\-ready capabilities in AI, cloud, cyber and software development. Join our Talent Community to stay up to date on our career opportunities and events at gdit.com/tc. *Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans*