Dental Resume Samples

The Guide To Resume Tailoring

Guide the recruiter to the conclusion that you are the best candidate for the dental job. It’s actually very simple. Tailor your resume by picking relevant responsibilities from the examples below and then add your accomplishments. This way, you can position yourself in the best way to get hired.

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C Roberts

Cesar

Roberts

852 Amina Heights

Chicago

+1 (555) 697 2424

852 Amina Heights

Chicago

Phone

p +1 (555) 697 2424

Experience Experience

San Francisco, CA

Dental Treatment Plan Coordinator

San Francisco, CA

Hamill Group

San Francisco, CA

Dental Treatment Plan Coordinator

Assist the patient in prioritizing the treatment and establish a plan for scheduling and payment
Checking voicemail on a daily basis
Manage and maintain the payment options and policies for patients to uphold the practice’s financial integrity
Assist in Practice’s collections protocol for all outstanding balances
Understand the practice’s policy on working with dental benefit plans and be prepared to educate patients on their dental benefits
Conduct treatment consultations with all new patients and with existing patients when new treatment plans are presented
Conduct financial consultations with all new patients and with existing patients when new treatment plans are presented

Phoenix, AZ

Manager Dental Operations

Phoenix, AZ

Block Inc

Phoenix, AZ

Manager Dental Operations

Assist in the development and implementation of special dental projects
Assist in the development and implementation of special projects
Maintains inter and intra departmental relationships across the network to effectively promote the strategic operational goals of the network
Attends and contributes to Management, Staff, Quality Assurance, and all meetings the Operations Manager is invited to attend
Develop, implement, and maintain updated Dental Clinic protocols and ensure all Dental Clinic staff and providers are updated on all policies and procedures
Establish and maintain liaisons with community-based resources
Ensures a positive and professional working relationship for all staff and patients

present

New York, NY

Dental Director

New York, NY

West, Fay and Barrows

present

New York, NY

Dental Director

present

Grievance and Appeals - the Plan Dental Director maintains an active liaison with UCS G&A, reviews dental and medical/dental cases, and is responsible for representing the Local C&S plan at State-level Fair Hearings as requested
Oversee dental policy development and administration. Responsible for all clinical aspects of dental policy, quality assurance, claim adjudication, grievance and appeal processes, product design, contractual provisions and professional communication. Oversees the hiring, administration, and performance evaluation of dental advisors/consultants performing pre-payment and post-payment reviews of submitted claims
Solid working knowledge of the inclusion of dental benefits, current industry trends, dental FFS/DHMO, and PPO products, utilization review, dental policy, quality assurance and provider reimbursement
Direct the development of long-range goals and objectives and recommend their adoption by senior executives. Prepare plans and programs for attainment of approved objectives
Directs involvement in the implementation of quality improvement activities under the dental plan, including tracking and trending quality care issues
Perform normal personnel and administrative duties including: planning, budgeting and employee development, performance management, bonus incentive programs, taking corrective action where necessary, representing the division on task forces and project teams
Communicate professional concepts to a variety of audiences. Serves as the liaison to the local professional dental community. Represents Starmount Life in industry, governmental and public relations capacities

Education Education

Bachelor’s Degree in Skill

The George Washington University

Bachelor’s Degree in Skill

Skills Skills

Knowledge and experience in utilizing dental terminology
Skill and experience in the use of basic dental laboratory equipment
Ability to read and interpret prescriptions requests for dental prostheses
Skill and experience in the use of wide variety of dental laboratory materials
-Excellent hand-eye coordination
-Strong ability to read, listen, comprehend, retain, and execute on written and verbal instructions
-High level of organizational skills, with the ability to prioritize work
401 E North ST
Designs and fabricates metal substructures for both porcelain and acrylic veneers
Performs as a master of the art of dental ceramics and plastics, utilizing recognized techniques

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Dental Biller Resume Examples & Samples

1+ year of previous Billing experience
Previous Dental experience
Working knowledge of Dentrix software

Finance Accounting Analyst Specialty Dental & Vision Resume Examples & Samples

Bachelor’s Degree in Finance, Accounting or a related field
Master’s Degree in Business Administration or a related field (or working toward)
Certified Public Accountant license (or working toward)
Experience with Hyperion Essbase and/or SQL preferred
Previous experience working in a Finance or Accounting role within the healthcare industry helpful, but not required

Dental Practice Specialist Resume Examples & Samples

Ability to collaborate and share knowledge to benefits others
Ability to solve problems with a positive attitude in a competitive environment
Ability to negotiate and close sales opportunities by presenting 1:1 or to small groups using persuasive verbal and written communication skills
Ability to tailor sales presentation and messaging around customer verbal and non-verbal cues
Ability to consistently meet and exceed sales target while managing administrative responsibilities and CRM requirements
Ability to interact with a professional demeanor at all levels of an organization and established business relationships within the territory
Bachelor's degree or higher from an accredited institution is required
Minimum of three (3) years combined industry experience in sales is required
Minimum of three (3) years experience with Microsoft Excel is required
Bachelor of Science Degree is preferred
Three (3) years of field sales experience is preferred
Three (3) years dental/orthodontic industry sales experience is preferred
Experience with maintaining and growing a multi-million dollar territory with 250 or more accounts is desired
Experience with selling direct or through distribution channels
Health care industry experience including dental manufacturers and distributors; dental labs; hygienists; dental assistants; pharmaceutical; medical device
Advanced Territory Management skills including analytics, strategic planning, prioritization, and tactical execution utilizing all available resources to maximize results
Experienced with Microsoft Office application software, spreadsheets, on-line sales support systems and Internet savvy research capabilities
Experience using Customer Relations Management (CRM) software (i.e. Siebel, Oracle, SAP CRM)
Experience with Lotus Notes and/or Outlook email software

Team Leader, Dental Claims Resume Examples & Samples

Demonstrated Leadership Skills
Industry designations a plus
General knowledge of dental services and products preferred
Knowledge of federal and state exchange operations, insurance contracts, laws, dental terminology preferred
Influential communication skills in highly cross-functional role
Collaborative leadership and client relationship management desired

Dental Claims Approver Resume Examples & Samples

Review and approve a variety of multi-part dental claims for accurate payment or denial, in date order, to meet turnaround time requirements
Inaccurate use of system override authority may result in payment error and put Guardian at risk to monetary penalties
Determine that BAS adjudication is applying correct dental logic and manipulate the system when appropriate to process accurate contractual benefits while adhering to all legal requirements
Investigate and respond to written appeals, inquiries and complaints as well as those received by our Customer Response Units
Determine proper action based on findings
Proper handling of appeals and complaints is imperative to avoid Insurance Department
Complaints regarding mishandled claims
Possess and continually maintain a commanding knowledge of dentistry, the insurance contract and the department’s processing workflows
Refer claims to consulting dentists to determine necessity of treatment
Follow-up on claims pending for additional information utilizing iProcess reports on a daily and weekly basis
May require contact with providers to obtain additional information. Also requires contact with Provider Services, Membership Accounting Reps and/or Payment Services, New Business & Benefit Services, Customer Response Unit (CRU), Special Investigation Unit, Dentist Consultants, Dental Standards and Claim Distribution Coordinators before claim may be completely processed
Requires technical expertise, excellent written communication skills and sound judgment
Ability to problem solve and make prompt decisions
Strong typing skills
Key stroke skills required (alpha numeric – 5000 key strokes per hour recommended minimum)
Insurance experience useful, as is an understanding of (or familiarity with) dental terminology and procedure codes

Dental Claims Adjudicator Resume Examples & Samples

Input, analyze and assess claim submissions
Evaluate and process claims in accordance with contractual limitations and standard operating procedures within agreed service level through the aid of published claims manual
Consistently meet or exceed accuracy and productivity standards
Refer a claim for inquiry and clarification when necessary
Graduate of any Bachelor’s degree course
Nice to have: Knowledge of/or work experience in the insurance industry, claims processing in particular
Basic computer and keyboarding skills with a minimum of 30 WPM
Must pass business unit CGB Math exam with a score of at least 7
Efficient time manager with ability to prioritize tasks
Detail-oriented with quick assessment skills
Superior problem-solving and decision-making skills
Strong client-focus
Positive attitude with willingness to learn
Flexible and adaptable, contributing to a positive team environment
Commitment to handling private and confidential information with a high degree of professionalism
Good understanding of Claims Processing / Adjudication
Proficiency in GB Citrix applications and navigation of GB Claims Manual

Senior Dental Investigative Analyst Resume Examples & Samples

Apply knowledge of dental practice procedures, group benefits, claims payment and administrative practices to review, manage and assess incoming claims and referrals, assess risk, provide direction, assign priority and take appropriate action
Create, track and update referrals, investigation activity and fraud and abuse management tools
Communicate over the phone, in person or in writing with plan members, providers of service and other stakeholders
Create written audits and other correspondence to plan members, providers of service and other stakeholders
Generate, manipulate and analyze data to identify anomalies, trends, patterns and outliers. Interprets findings, document observations, take action and communicate as required
Prepare regulatory and criminal complaints resulting from investigations
Provide professional and prompt attention to internal and external clients
Provide subject matter expertise and support to more junior staff
Dental office experience as a dental hygienist or dental assistant is required
Demonstrated proficiency in written and oral communication skills
Superior investigation and analytical skills
Proficient data analysis, research, problem-solving, decision-making, negotiation and influencing skills
Willingness to embrace new business concepts, approaches and ideas
Ability to deal with demanding and sometimes contentious situations in a professional manner
Ability to manage / schedule a fluctuating, unpredictable and challenging workload
Advanced level Word and Excel skills

Dental Claims Analyst Resume Examples & Samples

Communicate with customers and providers to ensure a positive business experience
Apply analytical skills to navigate through multiple online resources
Associate's degree or equivalent related work experience required
Intermediate to advanced PC and keyboarding skills
Stellar verbal and written communication skills, analytical skills and detail-orientation
Good time management, organizational and problem solving skills, with the ability to maintain confidentiality
Self-Motivated with the ability to work independently
Leverage internal partners to make sound decisions regarding claim handling
Ability to thrive in a fast-paced, production environment
Bachelor's degree, course work in medical/dental terminology, and/or industry courses (i.e., HIAA, ICA, etc.)
Prior claim paying, coding, customer service, and/or medical/dental industry experience preferred; however formal training will be provided

Dental Territory Manager Resume Examples & Samples

Recruit dentists into the network according to established goals and strategy
Make follow-up phone calls to dental practices who have requested information who have been sent solicitation materials as part of mass mailings and who have been nominated by members
Make visits to dental offices in territory through cold calls and appointments
Establish relationships with key administrators of new and participating group practices
Negotiate fee schedules with dental practices in accordance with the discounts as required and review for completeness
Enter all contacts into CRM system according to the CRM guidelines and requirements
Work with dental offices to resolve complaints, claims issues as needed. *LI-NI1
Highly motivated individual with proven ability to meet challenging goals/targets
Excellent verbal and written communication skills with the confidence and ability to negotiate
Demonstrated ability to exercise initiative, independent judgment and be a self-starter
Must excel in a fast-paced business environment and be able to function with minimal supervision
Excellent interpersonal, organizational and prioritization skills
Valid driving license and reliable vehicle

Dental Manager Resume Examples & Samples

Requires BA/BS; 5 years in progressively complex customer service environment; or any combination of education and experience, which would provide an equivalent background
Prior Dental experience or knowledge is preferred but not required
Preferred bilingual in Spanish but not required

Dental Representative Resume Examples & Samples

Process and manage enrollments, aging, credit card processing and customer calls for individuals utilizing the Dental Insurance plans
Interact with customers on enrollment, billing questions and discrepanciesEducate customers regarding enrollments, receiving invoices and remitting payments
Monitor outstanding balances and take appropriate actions to ensure clients pay billProcess refunds and adjustments
Review for quality assurance and audit billing activities
Assist Supervisor on Projects and as a SME(Subject Matter Expert) as assigned
All other assigned tasks
Ability to navigate all aspects of computer issues and access requests
Ability to multi-task, this includes ability to understand the healthcare industry
Ability to remain focused and productive each day

Dental Clinical Review Director Resume Examples & Samples

Manage Utilization Review and Prior Authorization Programs
Provide clinical support to the Fraud & Abuse and Payment Integrity Programs
Serve as the primary clinical liaison to external UR vendors
Oversee internal and external dental consultants and related staff, including training and development and Inter-rater Reliability
Identify providers with aberrant utilization patterns and support the Fraud/Abuse investigation process including auditing providers, generating reports, correspondence and provider outreach and remediation
Develop policies and procedures related to Utilization Review, Prior Authorization and Fraud/Abuse
Counsel participating and non-participating dentists with aberrant utilization patterns
Interface with external entities including UR Vendors, OptumInsight, regulatory agencies as required to support the UR, PA and FWA programs
Respond to RFPs related to UR, PA, FWA and the clinical aspects of payment integrity
Active dental license in at least one state
Comprehensive knowledge of Utilization Review
Strong PC skills including PowerPoint, Excel and Access
Excellent analytical and writing skills

Dental Hygiene Representative Resume Examples & Samples

Responsible for achieving territory quota, new product budget and increasing sales within our top accounts
Develops new prospects and interacts with existing customers directly or in collaboration with dealers to sell the division’s products and/or services
Develops and implements a sales business plan for the territory in collaboration with marketing and other partners
Coordinates and conducts meetings and product training sessions with a variety of audiences to build product demand
Processes customer orders and provides account service to assigned and prospective customers
Inputs all call and sales activity into Seibel and utilizes that information to target high opportunities daily

Director, EHC & Dental Products Resume Examples & Samples

1) Innovation and Development
Evolve strategic vision and prioritization for the portfolio of products critical to GB’s continued financial success
Identify and assess opportunities for new products or modification of existing products in light of market trends and customers’ needs
Provide key input into various decisions affecting products specifically designed for GB
Once implemented, analyze trends (product and competitive) to recommend strategies for ongoing product management
Lead and drive feasibility studies and concepts, evaluating the overall value they can deliver as a basis for prioritization of future product development projects
Lead, drive or sponsor development of all product initiatives within the given portfolio ensuring that all product development initiatives are met within cost and time deadlines
Accountable for the outcome of successful development within the product portfolio
2) Relationship Management
Cultivate both internal and external relationships to evolve the GB product shelf
Manage of select number of third party vendors
Provide product information and assistance to business partners and various stakeholders to help them understand the products and services offered
Represent Sun Life on associated industry committees, as applicable
3) Maintenance & Process Improvement
Design and Implement continuous improvement to the product development process that strives to improve partner engagement and reduce time/cost of launching solutions
Refine the new idea evaluation process such that there is an ongoing inventory of viable new product ideas to draw from
Ensure product solutions remain competitive, meet ongoing sales and profitability goals, and abide by the appropriate regulatory framework
LI-WJ1

Digital Dental Specialist Resume Examples & Samples

Provide technical assistance regarding its end use indications to Dental Labs and/or providers via face to face, phone and remote online sessions
Resolve customer issues and inquiries promptly with high customer satisfaction
Assist customers with use of CAD/CAM design softwares, including installation and updates via remote logins
Create training modules for sales force training and development
Evaluate new technical products at the request of research and development
Provide input for the development of instructions for use for new products
Develop and contribute to the development of technical support materials for use by customers and employees
Provide machining support for proper manufacturing using dental mills
Educate and give technical support to customers on post-processing of RPD frames and/or other end-uses in the dental field
Make recommendations for scanning and design cases for customers and internal R&D
Perform quality control to assess fit on scan and design cases, making adjustments when necessary
Manage a controlled workflow ensuring service and prompt case delivery
Provide in-house and in-field training which may include seminars, lectures, demonstrations, clinics, trade shows and meetings at the request of the department manager
Provide technical advice and support to internal departments (Sales, Customer Service, and Education department)
Conduct either remote (phone, net viewer) or on-site troubleshooting and diagnostic support to customers
Maintain expert level proficiency in CAD (3Shape Dental Systems preferred, but other CAD software experience considered), CAM, design and milling
Maintain excellent and accurate communications with the appropriate staff
Maintain quality logs and records as required by the Quality Management System
5+ years of relevant experience as a Certified Dental Technician
Extensive knowledge of dental technology/terminology
Working knowledge of digital CAD/CAM process (particularly with dental design softwares 3Shape, Exocad, and/or Dentalwings) and requirements for dental applications
Understanding of RPD manufacturing via conventional techniques while milling/printing experience is a plus
Comprehensive knowledge of dental anatomy and dental occlusion
Experience with partials, dental restorations, metal and polymer framework, ceramics, implants, implant bridges, custom abutments, and full contour crown and bridge applications
Understanding of design requirements for dental materials, particularly acrylics, titanium, zirconia, metals, and various polymers
Strong IT background with CAD/CAM experience required (minimum 2 years dental lab experience)
Excellent IT/PC skills, and have the ability to communicate advanced topics to users with very different backgrounds
Good interpersonal communication skills with the ability to work independently and in a small team environment
Must be detail oriented and have excellent problem-solving and analytical abilities with a certain degree of creativity and latitude
Electrical / Electronic and mechanical related work experience preferred
A strong understanding and competency with Windows and equipment operating software, maintaining and diagnosing electronic components, pneumatic and hydraulic systems, precision mechanical parts etc
Basic troubleshooting skills; ability to identify common hardware, software and design errors relevant to equipment

Dental Specialist Resume Examples & Samples

Fulfills administrative and teaching responsibilities for General (dental) Practice Residency or Oral and Maxillofacial Surgery Training Program to achieve the educational goal of the program
Performs as a Trauma Team Member in Oral and Maxillofacial Surgery for a Level I Trauma Center
Provides trauma and other on-call responsibilities consistent with the needs of an acute care hospital
Performs specialty diagnostic, therapeutic and consultative procedures for patients presenting for care in the Oral and Maxillofacial Surgery Outpatient Clinic; problems may include orofacial deformities, injuries or pathologic conditions of the jaws and associated structure
Maintains clinical privileges at both Harbor UCLA Medical Center and Martin Luther King Outpatient Care to ensure comprehensive dental care of the medically compromised patient
Performs public health dental services detecting and measuring the incidence and prevalence of oral health problems with emphasis on diagnosing, preventing, intercepting and controlling oral health diseases
Performs complex endodontics, including root canal therapy on the anterior and posterior teeth of both children and adults, stressing the more difficult posterior therapy and apicoectomy or root excisions along with retrofillings
Performs oral surgery, including removal of impacted teeth, torus mandibularis and torus palatinus, treats jaw fractures and removal of pre-malignant lesions
Performs advanced periodontic procedures, including minor orthodontic treatment, treats traumatic dental injuries and children with special medical or psychological problems such as heart disease, cerebral palsy, epilepsy and physical, mental, and emotional handicap
Performs complex procedures for the treatment of diseases and abnormalities of the periodontal structures of the jaw
Performs complex prosthodontic procedures, including construction of obtruators for cleft palates and prosthodontic appliances to replace missing structures and treats unusual and difficult denture cases
Performs comprehensive orthodontic services. Conducts training or assists in the training of dental interns and residents
Conduct specialized dental research, special studies, and services as needed
Certification approved by The American Board in one of the above Advanced Education specialties

Dental Program Manager Resume Examples & Samples

A Master's degree from an accredited college with major study in public health, public administration, business administration, social work, or closely related field and three years' supervisory or consultative experience in health services, social services, Medicaid, or social security disability programs
Two additional years of qualifying experience will substitute for the required Master's degree provided a Bachelor's degree from an accredited college has been achieved
Analyze data effectively in order to guide state policy, processes, and program decisions
Apply systems theory in the development of effective technical and procedural work flows
Communicate complex facts and recommendations clearly, effectively, concisely, and accurately orally and in writing
Prepare regular reports, including barrier and gap analysis
Use a variety of research tools to effectively illustrate data
Coordinate and work effectively with program staff, management, practitioners, and government entities
Work collaboratively with unit team members and cross-divisional team members
Facilitate meetings with interdisciplinary groups and provide training in new or revised methods

Dental Member Assistant Resume Examples & Samples

All Dental Facilities
Effectively communicate w/ members&other office employees
Represent Kaiser Permanente in a positive manner
Dental Offices Only
Maintain current daily schedule. Document arrivals, cancellations, reschedules, etc
Instruct new patients to fill out Health Questionnaire&Personal Data Form
Verify personal data on Visit Slip. Update computer if personal data is incorrect
Determine, explain&collect all frees for services rendered in accord w/ the individual patient’s benefits, the Program’s published fee schedule,&the cash handling policy
Check reception area periodically to assure prompt attention for all patients
Collect&review visit slips for proper completion&patients’ treatment status. Confirm future appointments. Enter all visit slip data into the computer regarding treatment that was done, what was paid, billed, or waived,&further treatment that is needed
Schedule patients’ appointments w/ providers
Schedule initial&return appointments according to established guidelines
Cancel&reschedule appointments as necessary
Verify the printed schedule against the computer to double check for errors
Ensure all dental records are available according to updated printed schedule. Respond to chart requests made throughout the day
Respond to OPD-requests&route them to appropriate personnel
Complete missing visit slip report. Ensure all visit slips are accounted for
Balance cash drawer, complete bank deposit&perform other cash duties
In the event of an emergency, respond in accordance w/ established emergency guidelines
Answer Health Record Pull General Update (HPGU)&send charts to other clinics as necessary
Perform other duties as assigned by the Dental Office Mgr
Two (2) years of health care/dental care OR two (2) years of cash handling and/or customer service experience in a high volume customer service environment
Two (2) years of dental office experience

Dental Member Assistant Resume Examples & Samples

Perform check in, check out and customer service support to members, patients, staff and dentists. Includes verification of patient personal information, requesting completion of personal data form and health questionnaire
Collect and review visit slips for proper completion and patients' treatment status
Enter all visit slip data into appropriate systems regarding treatment that was performed, member amount paid, billed or waived and future treatment plans
Perform scheduling functions for members, patients, staff and dentists including initial scheduling, return appointments, short notice cancellations, short notice fills, confirmation calling and emergency appointments
Provide scheduling support for RDH schedules
Ensure all dental records are available according to updated printed schedule
Respond to chart requests
Perform detailed discussions with patients regarding fees and benefits associated with treatment plans
Sets up and monitors payment contracts with patients, contacts patients as necessary to discuss delinquent accounts
Collect all fees for services rendered in accord with the individual patient's benefit; the Dental Program's published fee schedule and cash handling policies
Perform other duties as assigned by supervisory personnel and dentist staff that are consistent with the individual's training and experience in and active and cooperative manner
One (1) year of dental member assistant or dental member assistant (front office) experience with understanding of dental clinical procedures
Cash handling experience
Demonstrated customer service, cash handling, problem solving and interpersonal skills
Knowledge of ADA coding
Ability to type/computer key board
Ability to handle multiple tasks and work under indirect supervision
Ability to conduct confidential and complex financial discussions in a discrete, caring and tactful manner with a diverse member population
Two (2) or more years Dental Assistant experience with knowledge of clinical dentistry AND/OR two (2) or more years Dental Member Assistant experience OR of a combination of these types of experience combined with experience in a customer service or insurance setting relating to dental services, preferred
Minimum typing speed of 20 wpm, preferred
Knowledge of dental appointing system (TEAM) and patient accounting system (SPARCS), preferred

Team Leader, Group Dental Claims Resume Examples & Samples

Create and maintain a diverse, high performing team capable of doing the work by setting expectations, recruiting best talent for open positions, addressing performance issues early and developing team members by providing ongoing feedback and appropriate development opportunities
Set objectives for and with employees that aligns with the goals of Dental Claims and holds them accountable to meet those objectives
Arranges training for employees as needs arise
Addresses employee complaints and resolves personnel issues
Executes Performance Management Cycle
Responsibilities (reviews, salary, and incentives.)
Formulate development plans and or improvement plans for staff to help them successfully carryout their job responsibilities
Completes tasks that support the operation of Dental Claims area and the achievement of its goals
Assists with the development and/or monitoring of workflow, procedures, and metrics to track employee and department productivity, gathers and analyzes statistics and makes recommendation for Department improvements
Holds employee meetings to communicate relevant information on specific topics and answer any questions
Actively participates in Management-led team meetings
Fully facilitates and leads small group meetings for employees under their supervision
Promotes personal and professional growth by mentoring employees at every opportunity
Project Management: Support key business and/or Dental Claims projects, including active involvement, resource allocation and oversight if appropriate
This Team Leader position will support and enhance our culture through our leadership expectations expressed in our Guardian Leadership Model
Bachelor’s degree or equivalent; four to eight years related experience (group insurance); or equivalent combination of education and experience in group insurance
Dental Claims experience preferred
Knowledge of insurance contracts, laws, medical/dental terminology preferred

Administrative Assistant, Dental Field Resume Examples & Samples

Maintains the Zone or Regional Manager’s calendar and schedule appointments, conferences, and events. Responsible for event planning – entering events into Event Connect, online RSVP system, and Event Connect Marketing Toolbox; organizing logistics of the event, and completing follow-up procedures including Sunshine Act transfer of value reporting. May be responsible for reserving conference rooms and coordinating audio/visual equipment and catering
Responsible for distributing incoming and outgoing mail, such as mass mailings, appropriately
Types letters and correspondence upon request, including e-mails. Makes photocopies, faxes, and distributes literature and material as directed. Maintains departmental and confidential files
Responsible for generating and downloading various reports from company databases. Also responsible for coordinating and distributing weekly, monthly, and other regular reports
Creates presentations for Zone and Regional Manager on Microsoft power point, or similar software
Makes travel arrangements and prepares business expense reports for travel and/or sales
Meeting company standards pertaining to quantity and quality of work performed on an ongoing basis, performing all work related tasks in a manner that is in compliance with all Company policies and procedures including WorldWide Business Standards

State Dental Director Resume Examples & Samples

Requires a DDS or DMD from an American Dental Association accredited dental school
5 years’ experience as a dental insurance director or similar experience; or any combination of education and experience, which would provide an equivalent background
Current unrestricted license to practice dentistry in the State of Minnesota required. Must have practiced dentistry in MN

Dental Aide-wa Resume Examples & Samples

Sterilize and process dental instruments in accordance with Infection Control Guidelines
Assist in cleaning operatories after patients’ use in accordance with Infection Control Guidelines, under the direction of the provider or dental assistant
Assist in restocking operatories after patient’s use in accordance with established guidelines
Receive and ship dental lab cases
Verify accuracy of mailing slips with cases
Pour impressions and trim models
Clean lab cases and laboratory equipment in accordance with Infection Control Guidelines. Maintain a clean and orderly laboratory
Clean sterilization and other clinical equipment, including operatories, operatory equipment and hand pierces, in accordance with Infection Control Guidelines and the manufactures’ recommendations
Mix disinfectant solutions
Run x-ray test film, replenish processors, clean processor rollers and change solutions in accordance with department standards
Monitor shipment and receipt of hand piece for routine maintenance
Order/replace secondary hazard communication container labels as needed
Maintain Hazardous Communication Policy Manuals
Perform other duties as assigned by the office supervisor that are consistent with the individual’s training and experience in an active and cooperative manner
Participate in the confirmation calling process
Enter/Receive selected information into/from the Program’s automated dental information system
In support of existing staff, participate in the coordination and processing of provider schedule print-outs and dental records
Participate in maintaining an adequate inventory of dental instruments and supplies within the assigned dental office

Director, Dental Systems Operations Resume Examples & Samples

Prioritize the pending problem tickets, work orders and pipeline development projects based on business need and return on investment
Provides indirect leadership to Dental Operations and IT Partners
Act as a key escalation contact for system outages, issues and break - fix situations
Adapts departmental plans and prioritizes work load to meet business objectives
Influences strategic decisions, departmental plans and prioritizes work in alignment with operational challenges
Lead cross - functional program to proactively address issues and system processes to meet business objectives
Create and deliver presentations to leadership on key initiatives
Partner with IT and Operations to develop and monitor controls to detect and prevent defects within projects by ensuring strong test plans and program teams
Communicate findings and recommendations to Senior Leadership
Bachelor’s Degree or equivalent experience
5+ years of experience managing programs and / or projects
5+ years of experience in health care industry
5+ years of experience in a cross - functional / highly matrixed organization
Intermediate proficiency with Outlook, Word, Excel and PowerPoint
Experience with dental insurance
Experience with Facets (a Trizetto application)
Excellent time management, organizational, prioritization skills and balance with multiple priorities
Self - motivated with ability to work both independently and in a team environment

Dental Member Assistant Resume Examples & Samples

Collect and review visit slips for proper completion and patients’ treatment status. Enter all visit slip data into appropriate systems regarding treatment that was performed, member amount paid, billed or waived and future treatment plans
Perform scheduling functions for members, patients, staff and dentists including initial scheduling, return appointments, short notice cancellations, short notice fills, confirmation calling and emergency appointments. Provide scheduling support for RDH schedules
Ensure all dental records are available according to updated printed schedule. Respond to chart requests
Perform detailed discussions with patients regarding fees and benefits associated with treatment plans. Sets up and monitors payment contracts with patients, contacts patients as necessary to discuss delinquent accounts
Collect all fees for services rendered in accord with the individual patient’s benefit, the Dental Program’s published fee schedule and cash handling policies
Perform other duties as assigned by supervisory personnel and dentist staff that are consistent with the individual’s training and experience in and active and cooperative manner
One (1) year of dental assistant or dental member assistant (front office) experience with understanding of dental clinical procedures
Two (2) or more years of Dental Assistant experience with knowledge of clinical dentistry and/or two (2) or more years of Dental Member Assistant experience or of a combination of these types of experience combined with experience in a customer service or insurance setting relating to dental services
Minimum typing speed of 20 wpm
Knowledge of dental appointing system (TEAM) and patient accounting system (SPARCS)

Dental Laboratory Technician Resume Examples & Samples

Interprets dental laboratory prescriptions and prepares materials and supplies needed to accomplish related tasks
Job responsibilities may include any of the following: Fabrication of models in preparation for the fabrication of dental appliances, custom trays, baseplates, biterims, templates, mouthgaurds, splints, obturators, festooning, casting, trimming die margins, polishing and communicating with providers specific to their area of responsibility upon authorization by supervisor
Provide examples to peer review and keep accurate records. Provide training for subordinate personnel
Maintains equipment according to laboratory standards
Organizes and maintains work area to a high level of cleanliness in keeping with laboratory standards
Meets health and safety standards throughout daily job functions. Performs other duties as requested
Two (2) years of experience as a dental technician
ADA technical school graduate
Certified dental technician

Dental Claim Analyst Resume Examples & Samples

Analyze and investigate dental claims in accordance with plan provisions and state & federal regulations
Accurately make decisions in a timely and effective manner
Interpret dental x-rays and anatomy, clinical narratives, office notes, contract provisions and claim procedures
Manage time to ensure compliance with our service timing, quality and production goals
Associates degree or equivalent and 2+ years related work experience (financial services, insurance industry, claims processing, or dental insurance experience preferred)
Ability to use basic math skills to determine claim payment
Ability to maintain a high degree of accuracy and pay strict attention to detail
Work independently with good time management skills as well as in a team environment
Good analytical, organizational, problem solving and quick decision making skills
Must have the ability to efficiently navigate and use multiple technology solutions
Prior claim paying, coding, customer service, and/or medical/dental industry experience preferred (however formal training will be provided)
Experience with SharePoint technology

Dental Services Analyst Resume Examples & Samples

Identifies and reports on typical patterns of care
Acts as a liaison between consultants, providers, members and operational departments to resolve unusual problems and complex cases
Provides analysis and information to corporate appeals and grievances
Reports savings and assist in recommending procedural and policy changes to maintain or increase revenue
Requires BA/BS; dental assistant certificate; 2 years of experience; or any combination of education and experience, which would provide an equivalent background
Detailed knowledge of dental procedures, coding and contracts required
Dental assistant/hygenist certificate required

Clinical Dental Specialist Resume Examples & Samples

Bachelor's Degree or higher from an accredited university
Capital equipment sales experience
Considerable knowledge/understanding of dental CAD/CAM technology, equipment, and materials
Considerable knowledge/understanding of dental implantology, including CBCT and surgical case planning
Considerable knowledge/understanding of Traditional C&B restorative techniques
Five years of key account sales, business development
Superior qualifying, demonstrating, follow up, closing, and customer support ability
Ability to be very creative and assist in strategic development to further penetrate market infrastructure
Ability to develop effective, professional presentations and confidently speak in front of small and large groups of lab technicians, dentists, and other dental professionals

Dental Clinical Appeals Consultant Resume Examples & Samples

Assists in all aspects of the Quality Improvement Programs including, but not limited to
Current and Clear Dental license; must have all the appropriate education to have and maintain a dental license (Hawaii, Florida, California,or Alaska)
5+ years clinical practice or related experience
Moderate to advanced computer skills
* Would consider telecommute, if you do not reside in Santa Ana ***

Director, Marketing, General Dental Channel Resume Examples & Samples

Create and execute GP marketing plan, working closely with Sales, in order to drive case utilization
Recruit and onboard GP doctors to be trained to provide Invisalign treatment
Develop positioning/messaging of Align brand and products to GP Customers, and create channel communications which motivate trial and utilization
Lead commercialization of product pipeline, working closely with New Product Development (NPD) teams. This includes coordinating with Clinical Education, Direct-to-Consumer (DTC), Corporate Events, and other areas of Marketing and Sales. Also includes development of Clinical Claims to support product launch
Uses data and customer interactions to develop a deep understanding of customer and consumer needs—and effectively educates the broader organization about these needs
Leads cross-functional teams in creating and executing tactical plans that support our business strategies
Analyzes reports and other data sources that gauge the health and growth of the business, and future business trends. Works with finance to manage the annual and quarterly forecasts
Manages a range of projects that support our strategic and tactical efforts, including market research studies, development of customer-facing marketing collateral (brochures, emails, web pages, trade advertising, etc.), and creation of new reports to analyze progress in building the business
Develop annual plan with quarterly tactics executed and measured
Coach and develop direct reports
Complies with all safety policies, practices and procedures. Reports all unsafe activities to supervisor and/or Human Resources
Participates in proactive team efforts to achieve departmental and company goals
Strong leadership; demonstrates initiative, takes action, and drives for results
Demonstrated ability to identify customer needs and create solutions to meet those needs
Effective communication skills (written, oral, & presentation)
Ability to make sound strategic decisions, incorporating data from multiple sources and business judgment
Ability to work cross functionally with individuals at all levels in an organization and understand their needs/motivations
Ability to effectively manage complex cross-functional projects
Self-starter who needs minimal supervision and able to effectively manage through ambiguity
Excellent writing, presentation and communication skills
Strong project management
Leadership ability to influence others, without authority, to drive change
Demonstrated experience in driving growth to achieve business objectives
12+ years of marketing or related experience
Experience in dental or medical device marketing required
BS or BA required; MBA strongly preferred

Key Account Manager Dental Resume Examples & Samples

Definition and implementation of a strong growth orientated business strategy for Spain
Identify core markets with highest profitability opportunity
Managing the product turnover and the marketing budget
Set-up training programs
Market the Align products portfolio as a clear differentiator from the competition
Ongoing analysis of market and competition, and adjust strategies to win market share
Develop an innovative business strategy to position Align as market- and innovation-leader
Provide creative and innovative solutions to support customers in obtaining the Align products and technology
Interact and communicate on a regular basis with all relevant headquarter functions
A minimum of 5-7 years of experience in sales and business development
Project oriented / project driven background and a hands-on, roll up the sleeves attitude
Able to maintain a strong customer focus in the context of the business strategy
Effective problem - solving and mediation skills
Natural ability to spot business opportunities and to persuade and influence others
Used to work independently with a high level of time management skills
Excellent, proven interpersonal, verbal and written communications skills
Advanced presentation and negotiation skills. Maintaining a professional appearance and providing a positive company image to the public
Fluent in English & French
Education to degree level with BS or BA preferred (depending on geography) and/or equivalent experience

Dental Practice Specialist Resume Examples & Samples

Previous sales experience and/or sales internship experience
Three or more years dental industry sales experience is preferred
Responsible for achieving annual sales goals and expanding market presence within the assigned territory
Experience with maintaining and growing a multi-million dollar territory with 250 or more accounts
Proven talent in developing customer loyalty
Experience with selling through distribution channels
Health care industry related experience including dental manufacturers and distributors; dental labs; hygienists; dental assistants; pharmaceutical; medical device
Knowledge and understanding of the competitive landscape in health care products, prices and policies
Knowledge and understanding of professional selling process and skills
Experienced with Microsoft Office application software, on-line sales support systems and Internet savvy research capabilities
Ability to consistently meet and exceed sales target

Associate Director of Pre-dental Resume Examples & Samples

Lead efforts to analyze and utilize customer insights collected from Bellwether, Benchmark, faculty surveys, and NXT Customer Satisfaction and case type data to improve the customer experience and our products (ideation, development, and iteration)
Respond to customer inquiries and issues as necessary
Support Pre-Health Content Managers in addressing errata across publishing and retail products

Dental Detailing Representative Kalimantan Resume Examples & Samples

Customer behaviour
Pass PEDFI certifications
Diploma degree in science, pharmacy, biology

Dental Aide Resume Examples & Samples

Sterilize and process dental instruments in accordance with Infection Control Guidelines. Assist in cleaning operatories after patients' use in accordance with Infection Control Guidelines, under the direction of the provider or dental assistant. Assist in restocking operatories after patient's use in accordance with established guidelines. Receive and ship dental lab cases. Verify accuracy of mailing slips with cases. Pour impressions and trim models. Clean lab cases and laboratory equipment in accordance with Infection Control Guidelines. Maintain a clean and orderly laboratory. Clean sterilization and other clinical equipment, including operatories, operatory equipment and hand pierces, in accordance with Infection Control Guidelines and the manufactures' recommendations
Mix disinfectant solutions. Run x-ray test film, replenish processors, clean processor rollers and change solutions in accordance with department standards. Monitor shipment and receipt of hand piece for routine maintenance. Order/replace secondary hazard communication container labels as needed. Maintain Hazardous Communication Policy Manuals. Perform other duties as assigned by the office manager or supervisory personnel that are consistent with the individual's training and experience in an active and cooperative manner. Participate in the confirmation calling process. Enter/Receive selected information into/from the Program's automated dental information system. In support of existing staff, participate in the coordination and processing of provider schedule print-outs and dental records. Participate in maintaining an adequate inventory of dental instruments and supplies within the assigned dental office
Assumes personal responsibility for becoming thoroughly familiar with and understanding all Dental Program policy and procedure and behavior guidelines. Conforms with established policy and procedure governing absenteeism and tardiness. Arrives for work on time, as scheduled or requested, properly attired and groomed and ready to perform the assigned job responsibilities. Conforms with established policy and procedure governing sign-in and sign-out process and the taking of lunch and rest breaks. Fully utilizes work time in direct support of the efficient and effective delivery of dental care and service. Conforms to established policy and procedure governing confidentiality of all patient and Kaiser Permanente and Permanente Dental Associates information and records and the release of such information both inside and outside the program - always acts in a manner that will protect and preserve this information. Consistently demonstrates a positive attitude while at work. Does not involve personal issues in work-day activities and works in a cooperative and supportive manner with all providers and other support personnel
Consistently treats providers and fellow employees with respect and consideration. Conducts personal conversations in the staff lounge and/or outside of the hearing of patients waiting for or undergoing treatment. Does not discuss other staff members, organizational policy and procedure, personal problems or a medical or dental condition in public areas. Always wears a Kaiser Permanente name tag and appropriately introduces self, other staff and providers consistent with established guidelines. Always addresses members/patients in a manner that is consistent with established guidelines - using proper title and last name. Responds to member/patient request for information, whether made in person or via telephone, in a timely and courteous manner, making eye contact if in person, using a pleasant expression and tone of voice and attempting to resolve requests at the point of initial contact or with as few referrals as possible. Always gives individuals calling on the telephone the opportunity to respond before being placed on hold, makes every reasonable effort to satisfy a member/patient's request within one transfer of a call and gives emergent and urgent messages promptly to the referenced provider. Makes every effort to appropriately and progressively inform members/patients waiting for care of the reason(s) for any delay and the prospects for when they can expect to be treated. Conforms with established dress code and takes appropriate precautions to protect clothing from soiling and contamination, consistent with established infection control guidelines

Dental Territory Manager Resume Examples & Samples

ABPI qualified
Understanding and experience of Consumer Mouth care and Healthcare Marketplaces/FMCG Experience
Experience of working in a field based commercial environment
Deliver against key objectives set each quarter such as dental call rate & number of TPIP’s (educational sessions). Continue to drive quality with each customer engagement by maintaining in call quality on a consistent basis measured through in call assessments, Sales Force Effectiveness surveys and GFK surveys
Detail scientific benefits of the brands and additional BTL support to Dental Professionals, Therapists and Hygienists to secure their endorsement and recommendation to appropriate patients
Utilise brand calling cards and brand bonding ladder to effectively use Skura e-detailing, clinical evidence and educational materials in all interactions with Dental HCPs
Deliver educational programmes to Healthcare Professionals and the wider practice team within practice and at trade shows and events
Place branded materials in surgery and in waiting rooms to optimise brand visibility and impact to patients
Recruit and develop collaborative relationships with specific KEE’S and network across the entire practice
Target and developing strong relationships with Foundation Dental Trainers / Practices, Corporate practices and MOD sites
Identify opportunities to drive relationships, brand awareness and recommendation through local speaker meetings
Good understanding of NHS policy & decision making processes in Dental, with the addition of being able to identify KEE‘s, so that insight can be leveraged to deliver competitive advantage to our products
Representation of GSK at national, regional and local association events throughout the year
Develop quarterly business plans, maintain accurate records of all work completed and planned on territory- including accurate segmentation and targeting of all DHCP’s and accurate recording within CRM system
Understand and leverage all incremental sales opportunities in Dental practices
Continuously report the activity on territory of competitors, customers and professionals

Dental Director Resume Examples & Samples

Quality and Affordability - The Plan Dental Director has primary responsibility and accountability for Total Dental PMPM performance and targets for the local C&S plan. This will require a close working relationship with vendors/partners, UCS clinical operations teams as well as with the C&S and UCS national affordability team. Activities will include collecting, analyzing and reviewing utilization and quality reporting to assess for over and underutilization patterns and gaps in care. In coordination with the CMO, Quality Management, Network and/or UCS, contributing to--and implementing—initiatives and data sharing with dentists and dental groups on quality and efficiency improvement opportunities, and implementing local Health Care Affordability Initiatives. The Dental director will serve as clinical lead for dental affordability initiatives at the local market and establishing a process for sharing data with physicians and completing peer to peer communications as required. Additionally the Plan Dental Director, working with dental staff, has primary responsibility to oversee new clinical model operations where appropriate, including Person-Centered Care Models (PCCM), (Accountable Care Community/ACC) relationships, and new Models of Care programs such as those defined by AHCCCS, DDD and/or the Center for Medicare and Medicaid Services (CMS). S/he will support UCS and UHN initiatives and Quality Affordability Programs as required in order to achieve the appropriate utilization and affordability goals of the C&S Health Plan and United Clinical Services/UHC. The Plan Dental Director has oversight responsibility of the C&S market peer review process as defined by State regulator as well as participating in the Peer Review committee as needed
Clinical Excellence - The C&S plan Dental Director works directly with the Quality Management Department and helps oversee the HEDIS data results and drive any required Health Plan accreditation activities as well as quality rating initiatives for the local CMS plan. The plan Dental Director has shared accountability for HEDIS performance for the Local C&S plan for Dental measures. The Dental director may also act in a similar capacity for Non C&S HEDIS, STARs as directed by UCS regional CMO (provider and member survey components). S/he acts as an improvement catalyst for all quality-related and will help in communications to providers on new focus and measure/process changes. Supports all Clinical Quality initiatives and peer review processes including Quality of Care and Quality of Service issues and PA oversight
Relationship Equity and State Compliance - The Plan Dental Director maintains a strong working knowledge of all government mandates and provisions for the local C&S market, as well as working across the enterprise to implement and maintain compliant clinical programs, procedures and work plans. S/he also is committed to being effectively engaged with our external constituents such as consumers/members, physicians, dentists, medical and specialty societies, federal/state regulators, and market-based collaborative. The plan Dental Director will be the outward face to State regulators based upon Contract, and direction of Plan President and C&S CMO. All public speaking and media documents must be approved by UHC’s Chief Medical Officer and Community and State’s Chief Medical Officer
Innovation - The Plan Dental Director leads the clinical interface with care providers and UHC network management colleagues in efforts to transform the health system. Primary local responsibility is to support dental linkages to PCCM/Accountable Care Community (ACC) growth through identification of appropriate practices; initial contact and into implementation where applicable. Knowledge of Value Based contracting variants for C&S will be required and will include but not limited to, UHC’s Accountable Care Platform, clinical practice transformation, patient-centered medical homes, accountable care organizations, creative care management programs, high-performance networks and network optimization, and consumer engagement
Growth - This Dental director delivers the clinical value proposition focused on quality, affordability and service, in support of growth activities of the C&S Health Plan. The Plan Dental Director actively promotes positive relations with State/local regulatory authorities and Medical Societies and records such in online Physician Engagement (PEI) tool
Focused Improvement - The Plan Dental director is responsible for identifying opportunities through participation, or review of, regional and/or local Market reviews S/he provides local feedback and takes a leadership role in Quality Affordability Programs initiatives
Grievance and Appeals - the Plan Dental Director maintains an active liaison with UCS G&A, reviews dental and medical/dental cases, and is responsible for representing the Local C&S plan at State-level Fair Hearings as requested
Licensed dentist
Missouri resident
Knowledge of managed care industry and the Medicaid line of business
Familiarity with current medical/dental issues and practices
Presentation skills for both clinical and non-clinical audiences
Solid negotiation and conflict management skills
Ability to build a team that values organizational success over personal success; provide ongoing coaching and feedback to ensure peak performance; identify and invest in high-potentials; actively manage under-performance
Focus staff on the company's mission; inspire superior performance; ensure understanding of strategic context; set clear performance goals; focus energy on serving the customer; provide ongoing communication to the team; discontinue non-critical efforts
Execute with discipline and urgency
Drive exceptional performance; deliver value to the customer; closely monitor execution; drive operational excellence; get directly involved when needed; actively manage financial performance; balance speed with analysis; ensure accountability for results
Drive change and innovation though continually seeking and implementing innovative solutions; create a culture that thrives on continuous change; inspire people to stretch beyond their comfort zone; take well-reasoned risk; challenge "the way it has always been done"; change direction as required
Ability to successfully function in a matrix organization

Head of Professional Dental Marketing Resume Examples & Samples

10+ years Professional Sales and Marketing experience
Dental professional sales and marketing experience preferred
Bachelor required, MBA preferred
Strong PowerPoint, Excel and presentation skills
Lead and work in cross-functional teams
Technical marketing skills
Problem analysis and problem-solving
Team-leadership and stakeholder management
Energy, adaptability and drive
Creativity and entrepreneurship
Decision-making
Sense of urgency
Ability to travel within US and Canada

Dental Hygientist Resume Examples & Samples

Provide direct patient oral hygiene care for program members, including comprehensive prevention, maintenance, and/or therapeutic dental treatment restorative services
Data collection and documentation pertaining to patients' oral health in compliance with policy and procedure
Maintain a work area appropriate to a clinical environment in compliance with environmental health and safety standards
Support other office functions during down time, ensuring a level of cooperation and positive work environment
Local anesthesia experience

Dental Territory Manager Resume Examples & Samples

Educated to Degree level or equivalent, science preferred
Full UK driving licence
Right to work in the UK
ABPI qualified, or to be passed in 2 years with GSK supporting this qualification
Deliver against key objectives, such as dental call rate, continuing to drive quality with each customer engagement by maintaining call quality on a consistent basis
Detail scientific benefits of the brands to Dental Professionals to secure their endorsement and recommendation to appropriate patients
Deliver educational programmes to Healthcare Professionals within practices and at trade shows and events
Recruit and develop collaborative relationships and network across the entire practice, driving relationships and brand awareness
Understand and leverage all incremental sales opportunities in Dental practices, whilst being able to identify KEE's, so that insight can be leveraged to deliver competitive advantage to our products

Asst-medical Dental Clinic Resume Examples & Samples

Excellent customer service and problem solving skills
Previous computer experience required
Excellent oral and written skill required
Knowledge of clerical/record keeping required
ICD-10 and CPT coding preferred
Computer and data entry required
Demonstrate initiative and ability to work independently
Demonstrate good organizational skills and attention to detail and accuracy
Demonstrate accountability and professionalism

Dental Center Manager Resume Examples & Samples

Experience working with electronic health records, practice management software and insurance billing preferred
Be able to handle multiple tasks
Possess a working knowledge of Microsoft Office
Demonstrate an understanding of the cultural and social barriers that can exist when accessing health or health-related care

Dental Laboratory Technician Resume Examples & Samples

464052400
Résumé (complete with experience most relevant to this position, including name and address of employer, job title, starting and ending dates (month and year), hours worked per week, and a description of your duties). (Required)
Transcripts if using education to qualify
Copy of most recent Notification of Personnel Action (SF-50) if current or former federal employee. The SF-50 must indicate proof of status (for example, you were a career or a career-conditional employee) and identify your position, title, series, grade, step, tenure, and type of service (Competitive or Excepted)
Copy of most recent performance Appraisal
Responses to the questionnaire if you were not able to complete online
If prior military service, copies of all DD 214 forms or proof of service. Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must also complete and submit an SF 15, Application for 10-Point Veteran Preference (available at http://www.opm.gov/forms/pdf_fill/SF15.pdf)

Dental Setup Technician Resume Examples & Samples

Associate’s degree or higher from an accredited university
Minimum 2 years of experience with Microsoft Office Suite (PowerPoint, Word, Excel, etc.)
Dental knowledge with experience in a dental / orthodontic lab or office with hands-on experience and knowledge of tooth anatomy, function and occlusion
Certified Dental Technician (CDT) or advanced training in dental lab technology
Experience with dental CADCAM software and/or graphic design software
Experience in a medical device environment
Experience with custom manufacturing driven by digital technologies and/or software

Dental & Vision Specialist Resume Examples & Samples

Partner with Home Office Operations and Sales & Client Management teams to develop local market programs to drive dental and vision growth through broker and customer based programs based on local market dynamics
Complete ongoing strategic analysis of offices and assigned territories to identify changes in markets, new trends, and provide up to date programs and appropriate support
Assess local office capabilities and engage local teams as necessary to ensure consistent execution and results across all markets using a variety of business intelligence, external trends, and network analytics
Partner with regional Sales & Client Management leadership to communicate and train field and service constituents on new dental and vision market development programs as well as future market development strategies
Identify new brokers and assist with new and existing broker education
Coordinate eCommunication strategies
Participate in meetings and regular calls with sales and client management teams to accelerate and maintain focus, communicate results and solicit input on initiatives and strategies
Monitor sales goals at the office and rep levels and suggest appropriate action be taken
Leverage business intelligence including industry segmentation, trend analysis, in-depth broker analysis, employer prospecting, and network analytics etc. to drive premium growth
Represent dental and vision as a Subject Matter Expert and conduct training as appropriate
Support our Broker Development Strategy and client management initiatives
Partner with Integrated Underwriting to create and drive integrated sales strategies
Support Sales Reps to develop underpenetrated markets through new broker development, core sales, and integrated sales with Core Market Sales Reps and client managers
Achieve personal sales goals through consultation, negotiations and positioning of Unum offerings within profit and product design guidelines
Bachelor's degree preferred or equivalent
5 + years experience in a sales or service environment preferred
Licensed to solicit insurance in the states within assigned offices/territory (Note for Recruiter: Use Field Comp Policy & Practice document for specific details on licensing requirements)
Strong relationship development skills and ability to foster a team environment
Excellent attention to detail and ability to analyze raw data; ability to produce detailed reports and analysis
Strong ability to manage projects including tracking and implementation
High level of organization, implementation/execution and project management skills
Strong understanding of the business and sales via multi-functional experience
Excellent negotiation and collaboration skills
Strong ability to think and implement strategically and tactically
Superior ability to communicate, influence and interact effectively at all levels of the organization
Ability to excel in a highly charged, fast paced environment, handling multiple, often competing priorities
Exhibit a thorough, deep understanding of Unum's products and services
Superior interpersonal, communication and presentation skills with demonstrated ability to present a leadership presence with internal and external partners with strong ability to create relationships and be a team player

Product Specialist Dental Resume Examples & Samples

Direct the day-to-day field sales responsibilities for Cantel Medical within a specific designated geographic territory
Maintain and grow business within current accounts either directly (B2C) or indirectly (B2B)
Penetration of new accounts within geographic territory where Cantel does not have a presence. Development and maximisation of business through existing accounts by executing consultative/educative sales processes
Work in partnership with Sales and Service Management and Team to achieve penetration growth in Dental Market, chemistry and other Cantel product lines as assigned. Strategise with team to introduce comprehensive product programs to new and existing customers
Develop consultative relationships with new and existing accounts to actively manage their infection prevention and control practices
Attain monthly, quarterly and annual sales quotas
Travel as necessary within specific geographic territory to optimise Cantel product exposure and penetration. Travel is part of the job function and must be performed in an efficient and cost-effective manner. Travel should be in conjunction with established call activity, Product Specialist functions, achieving current sales objectives and developing new opportunities for Cantel
Maintain all correspondence for each account managed in territory utilizing company tools appropriately
On-going market research for products or services including information on competitive landscape, pricing and offers
Participation in planning and implementing the marketing and sales strategy
Actively participate with Sales Management at annual sales forecasts, business plan development, and established opportunities and mechanisms to increase revenue within territory
Interact with other departments and or colleagues in the organisation to ensure proper handling of customer requirements or orders. This includes but is not limited to Sales Leadership Team, Marketing, Operations, Technical and Customer Service
Troubleshoot and evaluate all product reliability issues in assigned territory. Product issues must be reported to a Technical Service Representative and Marketing for rapid response initiation. Product Specialist will assist in the exchange of product if needed and communicate with account throughout the entire process until completed

Director Clinical Affairs Dental Platform Resume Examples & Samples

Work closely with new product development teams to plan and execute design validation strategy
Work closely with marketing and executive management to identify clinical study opportunities and priorities
Develop/approve/edit protocols, case report forms, and statistical plans
Recruit investigators/sites
Ensure appropriate regulatory controls (site and patient) in place for studies and design validations
Monitor data collection to ensure timely completion of all studies and design validations
Analysis and reporting results
Lead clinical risk assessment for adverse events, participate in decision on field corrective actions. Establish consistent best-in-class practices for health-hazard evaluations
Work with investigators to proactively identify presentation and publication targets
Develop and manage comprehensive clinical education program for all content and geographies
Propose and manage educational content, speakers, administrative, and promotion of company sponsored programs
Provide mentoring and guidance to subordinates and other employees
Monitor and manages all aspects of the clinical affairs budget
Develop necessary departmental processes for all dental platform
Strong working knowledge of dental workflows
Ability to identify, research and analyze general business periodicals, professional journals, technical procedures, or governmental regulations
Ability to apply mathematical operations to such tasks as frequency distribution, determination of test reliability and validity, analysis of variance, correlation techniques, sampling theory, and factor analysis
Provide strong organizational leadership, ability to organize complex work, drive change and instill a culture of execution, in RAQA as well as across the broader organization
Creates an environment that attracts, develops, and retains high quality employees, foster employee engagement, diversity, professional development and high levels of employee satisfaction
Ability to write reports, business correspondence, and procedure manuals

Dental Member Assistant, North Interstate Resume Examples & Samples

Provide&request information of other departments&external firms
Assist other staff members&providers as needed to ensure orderly&efficient patient care
Explain to patients how they can get various information, e.g., our Information Center, their benefits office, etc
Receive patients during check-in&check-out process
Answer staff questions regarding daily schedule. Relay pertinent information that may affect treatment or patient flow
Screen requests for emergency schedules&appointments according to established guidelines. Notify auxiliary staff of emergency
Receive calls for office staff. Take&relay messages according to office policy
Assist in maintaining a clean&neat reception area&lounge
Check, bundle&return records to Dental Record Center. Complete a retained chart form for any charts held at facility
Inventory business office supplies&forms
Dental office and computer skills

Dental Territory Manager Resume Examples & Samples

Understanding and experience of Consumer Mouth care, Dental or Healthcare Marketplaces/FMCG Experience
Play an important role in delivering our mission
Be an essential part of diverse, global team
Develop others as part of your own professional growth

Dental Laboratory Technician Resume Examples & Samples

Knowledge and experience in utilizing dental terminology
Skill and experience in the use of basic dental laboratory equipment
Ability to read and interpret prescriptions requests for dental prostheses
Skill and experience in the use of wide variety of dental laboratory materials

Senior Dental Product Develop Mgr Resume Examples & Samples

Design and develop new products and/or enhance features of existing products and services to provide a competitive advantage for our Market Segments
Counsel, influence and support Group Benefit partners on initiatives proposed to drive long term profitable growth
Monitor, influence and support implementation of controls to comply with emerging regulatory themes and environmental risks
Achieve revenue and earnings objectives for Group Benefits
Management oversight of several Dental Product initiatives. Responsible for partnering with each initiative owner to ensure that each project is delivered on time and on budget
Management and oversight of the Dental PPO, DHMO and Health Care Reform offerings
In addition to using externally available market research data, may commission original market research internally within the organization
Maintain and manage product PPO, DHMO & Health Care Reform offerings including cross-functional relationships
Represent Dental as a Subject Matter Expert. This includes providing functional and technical support to Market Strategy Leads, Product Directors, Finance, Sales and Service, Contracts, Marketing, IT and Underwriting units
Provide support for VP of Supplemental Health Product Development as it relates to strategy, planning and periodic business reviews
Significant Contributor to the Group Benefits planning process to ensure the timely delivery of successful products designed to meet the market needs of the field (annual planning processes for US/Group Benefits)
Ability to manage individuals on a project basis, allocate resources, and monitor performance
Excellent project management skills to oversee a large array of different initiatives
Expertise in the product development process, product management process, marketing process, service process, and sales process
Ability to represent MetLife Dental as a subject matter expert to MetLife employees of varying positions (e.g. sales, service, marketing, IT, etc.) and levels (e.g. associate, manager, officer)
Knowledge and experience with MetLife internal systems
Experience in creating and maintaining cross-functional partner relationships
Ability to work independently and/or in a team environment
A history of ability to present findings and knowledge to senior management
Creative thinker with strong organizational skills
Strong analytical skills and base of knowledge in the insurance industry
Excel, Word, and PowerPoint knowledge a must
Able to operate efficiently in a fast-paced sales environment

Dental Channel Director Resume Examples & Samples

Digital dentistry
3D printer or 3D CAD industry experience beyond dental and medical
Salesforce CRM
Please note this position is based out of our Somerville, MA office

Senior Dental Coordinator Resume Examples & Samples

Gather and report utilization data to management
Perform initial review of authorization requests to confirm completeness
Perform outreach to provider offices for additional required documentation
Manage and resolve high profile, escalated provider and member complaints, and grievances and appeals
Develop provider correspondence and various reports to present to management
Assist with HEDIS production functions including data entry, calls to provider offices and claims research
Train and serve as the point of contact for Program Coordinator team members on dental utilization activities
Does not conduct any UM review activities that require interpretation of clinical information
Does not choose a set of criteria to use for handling a request for healthcare services or treatments

Dental Specialist Resume Examples & Samples

Review complex claims and estimates for completeness and follow processes for incomplete information on claims
Assess and adjudicate complex claims and estimates
Assessing includes studying dental information and plan provisions, researching, documenting results and communicating verbally and or in writing with the client (member/sponsor) to obtain additional details in order to make an informed decision
Meet production and quality standards set for individuals, teams and department (timeliness, quality and service)
Handle external and internal inquiries via written correspondence, e-mails and telephone as required
Participate in departmental projects as required
Work in conjunction with the Dental Consultant on contentious cases, and with other departments/offices within the company in order to meet customer expectations
LI-VC1

Summer Dental Product Intern Resume Examples & Samples

1) Learning about basic insurance product development lifecycles
2) Exposure to project management, UX (user experience), waterfall and agile methodologies
3) Exposure into how business development interfaces with technology teams to take concepts to implementation and delivery (including how we define our minimum value product and project plans)
4) Learn about healthcare related government programs and regulations
5) Work on data and analytics and building databases for metric and reporting
6) Product positioning and marketing interfacing with distribution
7) Integration of product plan administration platforms (this is both operation lean six sign work exposure and technical IT Visual Basic mapping work)

Dental X-ray Technician Resume Examples & Samples

Performs all routine intraoral radiographic procedures
Takes panoramic and occlusal radiographs
Performs all darkroom technical procedures
Sorts and accurately mounts intraoral films
Assembles and prepares patient records
Ensures patient x-rays are forwarded to chart area
Demonstrates to students and faculty the proper use of x-ray equipment and

Dental Patient Treatment Coordinator Resume Examples & Samples

Directs patients about appropriate dental care treatment using defined policies and procedures. Monitors progress of patient treatment according to authorized sequential treatment plans and ensures appropriate scheduling accordingly. Works with dentists and patients to initiate care, continue existing care, explain treatment plans, and arrange payment and treatment contracts
Prepares and maintains student dentist, resident dentist, and dentist schedules, and assists with scheduling changes, according to patient care form
Registers patients and/or edits registration and dental records. Follows guidelines to set up patient's dental chart
Ensures routine patient contact remarks are updated in the electronic health record
Verifies all insurance utilizing telephone contacts and web inquiries. Determines if patients' insurance is contracted with USC and determines and collects co-pays.Works with patients who require financing to obtain or design financing, payroll deduction, payment plans, etc. Works with insurance companies to resolve billing and coverage issues and provides pricing to patients
Ensures required pre-authorizations of service are obtained
Processes workers' compensation patient accounts in conjunction with other
Dental Experience
Proficient in Excel & Word

Account Executive, Dental Resume Examples & Samples

Identifies and/or maximizes the sales opportunity for assigned in assigned product or customer category, or territory; includes current and potential customers, market leaders and/or strong market influencers
Contacts customers, prepares presentations, identifies and closes sales opportunities
Researches customer/client needs and creates a solution that meets their objectives
Generates direct sales from cold calling, follow-up calling, industry trade shows (attends as needed), and face to face meetings (as needed)
Performs research in the marketplace, developing lists of new prospects and lists of existing accounts for contact and/or follow-up purposes
Attends mandatory meetings and trainings as required
Provides support and perform special projects as needed
Bachelor's degree in marketing, business communications, sales, or a related area, or the equivalent in professional sales experience
Highly organized with strong attention to detail and exemplary interpersonal skills and a fast paced, evolving environment
At UBM plc, we invite you to be part of an organisation that is committed to building a diverse and inclusive culture and to being a responsible, sustainable business. UBM is proud to be an equal opportunity workplace and an affirmative action employer

Dental Dispensary Aide Resume Examples & Samples

Controls distribution of clinical equipment. Signs and/or scans equipment in and out of the computer. Notifies the appropriate students and/or doctors regarding items that have not been returned
Maintains, prepares and dispenses materials and supplies. Prepackages dental materials according to various dental procedures. Prepares solutions. Follows appropriate protocols for materials and equipment handling
Transfers data from handheld scanning devices into a computer
Maintains dispensary in clean and orderly fashion. Cleans shelves. Maintains, disinfects, and sterilizes equipment
Learns and applies proper techniques for handling used instruments, disposable materials, chemicals and dental materials
Opens clinic or preclinic dispensary and prepares for operation
Orders supplies. Unpacks and stocks shelves to predetermined levels
Controls supply of lab coats. Sorts and distributes lab coats
Performs other related duties as assigned or requested. The University reserves the right to add or change duties at any time

Dental Laboratory Technician Resume Examples & Samples

Read prescriptions and specifications received from dentist
Inspect the set-up and wax-up to verify that it is not broken or damaged
Use past experience and successes to effectively trouble shoot and problem solve
Review final work to confirm that quality standards have been met
Clean work area daily
Excellent hand-eye coordination
Strong ability to read, listen, comprehend, retain, and execute on written and verbal instructions
High level of organizational skills, with the ability to prioritize work
Must be able to read, write, speak and understand English

Dental Administration Resume Examples & Samples

Observing at the front desk
Chart retrieval
Different projects around goals and expectations (Ex. Making charts, graphs, etc.)

Dental Operations Admin Resume Examples & Samples

Creating/updating/maintaining spreadsheets for various uses
Creating agendas for various meetings
Meeting minutes—taking, typing and distributing for various meetings
Updating and maintaining communication boards
Filing and organization

Dental Hygenist Resume Examples & Samples

Give and receive accurate and complete information to parents and doctors while displaying professionalism and perform accurate and thorough charting of patient data
Place topical anesthetics, rubber dam; placement of occlusal sealants using four handed dental assisting techniques if assisting is necessary
Instruct patient and parent on the proper oral hygiene
Graduation from accredited dental hygiene program
Technical skills to perform scaling, polishing, chairside assistance and all dental hygiene duties
Ability to interact with doctors, patients, families and students in order to obtain and relay information on hygiene status, as well as instruct dental students

Dental Operations Resume Examples & Samples

Gain exposure and experience in Dental Operations
Support business process optimization for the newly implemented fully integrated electronic dental record (HealthConnect)
Business process areas may include revenue cycle, scheduling, medical-dental integration, and/or clinical processes
Specific project areas may include access, referrals, fee estimates, sterilization, or call center processes
Project coordination experience
Ability to maintain effective working relationships and maintain confidentiality at all levels internally and outside of the organization

Dental Specialist Resume Examples & Samples

Preventive dentistry
Dental office procedures
Radiology (X-ray) techniques
Dental hygiene procedures
Interest in biology and chemistry
Ability to follow spoken instructions and detailed procedures
NorthCrest Medical Center
Atlantic Health System

Dental Prior Authorization Supervisor Resume Examples & Samples

Oversee and Monitor all prior authorization processes (i.e. production volume, etc.)
Monitor staff job expectations and assigned duties
Assign and monitor daily employee assignments
Train, orient, mentor and evaluate staff as needed
Set example of proper behavior and accountability to employees and serve as a role model for what is expected of a Health Choice employee
Ensure that decisions are made in compliance with contractual and HCA guidelines
Ensure staff are properly trained in all aspects and systems of departmental processes
Ensure fraud, waste and abuse concerns are identified and reported in a timely manner
Ensure accurate departmental statistics, to include daily updates as required
Ensure all additional duties assigned by the Oral Health Manager, are completed in a responsive and timely manner
Ensure employees are fulfilling day to day performance standards
Ensure prior authorizations are completed in accordance with AHCCCS and URAC standards
Ensure daily productivity expectations are attained
Ensure employee concerns related to job performance are addressed
Ensure delegated duties are completed in a timely manner
Ensures staff productivity is monitored and additional work is assigned as needed
Ensures Desktops are reviewed for consistency and accuracy
Ensures staff is trained on updated processes prior to implementation
Ensures technical expertise is maintained and acts as the point of contact, when Oral Health Management is not available
Ensures the Dental Prior Authorization Desk reference is updated and current at all times
Strong knowledge in CDT – Dental Coding
Strong working knowledge of State Medicaid programs
Knowledge of dental terminology
Read, write and orally communicate at a professional level
Strong multi-tasking ability
Ability to work independently and as part of a dynamic team
At least two (3) years or experience with Medicaid dental benefits preferred
At least five (5) years of dental practice experience (required)
Intermediate to Advanced knowledge of Microsoft Office applications (i.e. Excel, PowerPoint, Word)

Dental Services Executive Resume Examples & Samples

To support Expert Marketing priorities and goals by ensuring achievement of share of DHCP recommendation, sample forecasting and distribution, cycle call objectives & customer service benchmark
Prioritize customer by potential & willingness to recommend i.e. A, B, C segmentation for territories assigned and constantly update the Brand bonding ladder (BBL) of the customers on each GSK oral care brand
To plan, organize and conduct lunch & learn sessions to dental nurses & group practices
Manage programs and seek opportunities to provide talks to dental students at Dental Schools and government dental hospitals/clinics
Maintain professional relationship with dental associations, dental schools, ministry of health & KOLs
Maintain tracking on samples given and generate sample tracking report periodically
Bachelor’s degree. Science background is an advantage
Min 2 years of experience in Sales/Marketing in Consumer Healthcare or Pharma industry
Experience in coverage in university hospitals, government clinics and ministry of health is an advantage
Strong track record in working within cross-functional teams and sectors
Self motivated, open and dynamic personality
Willing to travel outstations (1-2 times a month)

Dental Consultant Dds-telecommute Resume Examples & Samples

Review/audit member records to validate claims submission accuracy and identify potential quality of care issues
Perform medical necessity determinations following UHC clinical criteria and review/audit medical necessity review determinations made by dental consultants to determine if UHC review criteria were followed
Lead the remediation of providers as the result of Fraud/Abuse and other investigations including provider outreach, counseling and correspondence; coordinate with the Peer Review Committee, Legal and other internal departments; and interface with external entities including regulators and law enforcement
Develop policies and procedures related to Utilization Review and Fraud/Abuse
Provide clinical expertise in support of Fraud, Waste and Abuse, Payment Integrity, Affordability and related projects
Resolve clinical cases and disputes
Generate management reports on key activities; provide clinical support to the team in producing presentations and reports
Dental degree
Experience with Fraud, Waste and Abuse investigations

Analyst, Dental Resume Examples & Samples

Performs post payment analysis of claims and records
Uses independent judgment to determine sanction level, and forwards recommendation to management for approval
Prepares reports and correspondence
Researches policy/standards
2 years dental hygiene experience

Dental Analyst Resume Examples & Samples

Business Impact: Responsibilities impact the achievement of department objectives. Results usually contribute to the completion of projects and department objectives. Typical errors would cause moderate delays, inefficiencies and/or expenses. Decision Making: Typically involves interpreting and carrying out general guidelines. Requires some judgment to develop alternatives. Provides information to others to be used in the decision-making process. Requires limited decision-making. Problem Solving: Demonstrated problem solving and organization skills. Interactions/Communications: Exchanges and interprets nonroutine information and/or collaboration of work. Strong oral and written communication skills. Independence/Discretion: Follows generally defined directions. Works under general supervision. Exercises some discretion within defined boundaries. Will seek a supervisor or manager to provide guidance and/or solve problems for difficult issues
Report analyst duties, e.g. design and develop automated actionable reports to inform managers in a timly fashion
Data analyst duties, e.g. assists in the research, analysis, and remediation of moderately complex data issues that directly impacts reporting and analysis
Business systems analyst duties, e.g., help define business rules applicable to the development and/or use of the application
Minimum two (2) years of financial analysis experience
Healthcare/insurance experience
Extensive use MS Office products
Use of Data Query tools

Efda Certified Dental Assitant Resume Examples & Samples

Retract a patient’s cheek, tongue, or other tissue during an operation,
ASSURE PROPER HANDLING OF ALL MATERIALS in accordance with Hazard Communication Program and Infection Control Guidelines
One (1) year experience as a dental assistant OR a graduate from an ADA accredited dental assisting program or a nine (9) month dental assisting program with externship that has been pre-approved

Senior Dental Investigative Analyst Resume Examples & Samples

Apply dental clinical expertise and depth of knowledge of dental office practices and claims administrative practices to review and assess incoming claims and referrals by identifying risk, assigning priority, providing direction and taking appropriate action
Confidently engage in conversations with dental providers, their auditors and legal representatives to resolve billing issues, influence billing behavior changes and negotiate settlements
Conduct interviews and create written audits and other correspondence
Prepare regulatory and criminal complaints, and recommendation to delist providers resulting from investigations
Provide professional and prompt attention to our customers delivering on our customer experience strategy
Decision maker and technical lead on complex provider billing issues
Deliver presentations internally and to clients on our fraud risk program
Dental office expertise as a Dental Hygienist and/or a Certified Dental Assistant is required
Current on changes and trends in dentistry and ability to liaise with the dental community
Superior written and oral communication skills
Demonstrated negotiation, investigation and analytical skills
Ability to independently deal with demanding and contentious situations in a professional manner

Dental Claims Review Analyst Resume Examples & Samples

Apply clinical, coding and processing knowledge to make claims decisions, conduct review, process claims and approve dental service claims
Implement claims review processes that are consistent with state, industry and corporate standards and are within the Dental Claims Review Analyst’s professional discipline. Effectively function in accordance with applicable state, federal laws and regulatory compliance as well as other approved guidelines and dental policies. Promote quality and efficiency in the delivery of review services
Respect the member’s right to privacy, sharing only information relevant to the member’s care and within the framework of applicable laws. Practice within the scope of ethical principles
Employ collaborative interventions which focus, facilitate, and maximize the member’s oral care outcomes
Identify issues which can be used to educate/train internal staff, streamline and improve processes and update documentation. Develop and sustain positive working relationships with internal staff
Work with the Dental Director(s), Utilization Review and other areas to identify opportunities to improve the claims review process, and reduce the cycle time of payment claims and predeterminations
3-5 years' of experience in a clinical setting
Associate Degree-Associate's degree in Dental Hygiene or Associate Applied Science (AAS) in Dental Hygiene
1-3 years' experience in Utilization Management / Quality Assurance / Managed Care
Experience with reviewing and analyzing dental claims data
Experience with CDT Codes
Working knowledge of pertinent regulatory and compliance guidelines and dental policies
Proficiency in utilizing PC applications accessed by Dental Review
Ability to multi-task and perform in a fast paced and often intense environment
Ability to analyze data, measure outcomes, and develop action plans
Ability to be a team player who possesses strong analytical and organizational skills. Enthusiastic, innovative, and flexible
Excellent computer and software knowledge and skills

Dental Detailing Operations Manager Resume Examples & Samples

Matric
Relevant 3yr Tertiary degree/diploma would be an advantage
Computer Literate in Excel, PowerPoint, Word, Outlook
Minimum of 3 years experience in the expert space. Dental detailing would be an advantage
Proven understanding of local regulatory environment and relevant industry codes
Comprehensive knowledge of the Dental environment
An appreciation for the use & application of various data sources such as IMS, AC Nielsen & scanned data
Strong product knowledge of both competitor and GSK brands
Ability to influence KOLs and Customers
Assit the National Dental Detailing Manager in Identifying, developing and implementing the annual Expert Dental detailing Channel plan to deliver GSK’s agreed sales, profit, distribution, pricing and promotional targets with key customers
Develop and implement Co-Op and promotional investment plans that deliver ROI, drive expert recommendation as measured by Touchstone and are aligned to channel and brand objectives
Assit the National Dental Detailing Manager to development and implement the channel’s annual trading term & pricing strategies that are in-line with local regulatory & competition codes and deliver against channel’s strategic agenda
Provide monthly input into commercial forecasting process, driving forecast accuracy and excellent customer service levels
Manage all dental congresses from the develpoment of the activation plan, promotional elements, implementation of the promotional stand and signing of the sponsorship agreements
Track and measure HCP & Government interactions on a monthly basis
Track and manage Lunch and Learn interactions
Track and manage all sponsorship agreements
Track and manage rep in a box per cycle
Track and manage sample stock to be distributed by region to all dental detailers
Analyse GFK data and present findings and opportunites to the national Dental Detailing Manager as well as Dental detailers
Work closely with the Expert Campaign manager to develop and design Dental point of sale elements to be placed in dental practices
Track and manage all leafbehind promotional elements to detailers that need to be placed at dental practices
Track and measure the annual scorecard to monitor channel’s progress against the delivery of annual business plans, identifying any risks or issues & implement corrective action where appropriate, in order to achieve the sales, profit, distribution, recommendation, pricing and promotional targets
Assist in the co-ordination of an extended team including Customer Marketing Activation Managers, Sales Operations, Finance, Planning, Expert Capability Manager and Marketing to deliver strategic channel initiatives and development of team
Advanced strategic planning & organising skills
Proven track record in Leadership, Recruitment & Development of teams
Exceptional inter-personal & communications skills
Problem/Solution approach to issue management & conflict resolution
Excellent selling, influencing & negotiation skills
Clearly demonstrates high levels of personal drive & proactively
Team-player

Swift Rep-inbound Dental Resume Examples & Samples

Processes all customer fax and electronic orders
Processes all customer and vendor convention orders
Processes all website registrations as well as orders
Attends manufacturer training sessions
Provides professional customer service to any customers or vendor partners that call in with questions or issues
Participates in special projects and performs other duties as required
Meeting company standards pertaining to quantity and quality of work performed on an ongoing basis, performing all work related tasks in a manner that is in compliance with all Company policies and procedures including World Wide Business Standards

Dental Laboratory Technician Resume Examples & Samples

467785100
Use of dental laboratory material such as impression materials, plasters, stones, hydrocolloids, waxes, metals, acrylics, porcelain, and similar materials
Use of laboratory equipment such as hand tools, dental lathes, engines, and hand pieces, furnaces, casting machines, presses, flasks, and related equipment
Use of precision instruments such as articulators, surveyors, and microanalyzers
Construction of dental prosthetic appliances
Also constructing routine full and partial dentures, dental splints and obturators, model work for fixed prosthesis and other laboratory products; fabricating custom trays; fabricating bite rims; mounting casts on articulators; setting teeth for trial dentures/partials; investing, packing, processing and finishing dentures/partials; polishing prosthesis following adjustment; fabricating night guards; fabricating provisional prostheses; repairing broken prostheses; adding teeth to prostheses; pouring and pinning final crown and bridge impressions; maintaining clean work stations at end of business day. "This experience must reflect on your resume in detail."
Knowledge and ability to set up through start to completion on a complete denture prosthetic or partial prosthetic. This should include wax up setup, occlusal analysis and fabrication of final prosthetic for complete or partially denture patient
Competency 1- KNOWLEDGE IN THE FABRICATION OF DENTAL PROSTHETIC APPLIANCES
Competency 2- SKILLS IN THE USE OF VARIOUS TOOLS UTILIZED IN THE CONSTRUCTION OF PROSTHETIC APPLIANCES
Competency 3- KNOWLEDGE OF REGULATIONS AND POLICIES CONCERNING THE SUPPLY, SAFETY, INFECTION CONTROL AND OTHER ADMINISTRATIVE ASPECTS OF DENTAL LABORATORY
Competency 4- KNOWLEDGE OF BIOLOGICAL AND MECHANICAL PRINCIPLES RELATED TO VARIATIONS IN TOOTH FORMS AND SPATIAL RELATIONSHIP
Competency 5- ABILITY TO REPRODUCE TOOTH SHADES, STAINS, AND HUES AND ARRANGEMENT OF ARTIFICIAL TEETH

Dental Patient Services Specialist Resume Examples & Samples

Registers new patients and assigns patient dental ID. Collects patient information, co-payment, patient account balance, and verifies insurance eligibility and coverage level for new and returning patients. Scans ID, insurance cards and collects all required forms. Alerts practitioners of patient's arrival
Verifies all insurance utilizing telephone contacts and web inquiries. Determines if patients' insurance is contracted with USC. Ensures required authorization of
Education: Associate's Degree or some college
Work Experience: 3 years
Field of Expertise: working knowledge of dental management systems, preferably axiUm. Experience in consumer-side healthcare environment
Demonstrates bilingual skills in English and Spanish (written and verbal)
Experience working in a healthcare and/or dental environment
Demonstrated excellent verbal communication and telephone skills with patients and their family members
Demonstrated ability to multi-task
Experience in a high volume, fast paced environment
Demonstrated team-oriented and collaborative work style
Working knowledge of Microsoft Office Word and Excel
Working experience in an orthodontic office
Working knowledge of dental management computer systems, preferably axiUm
Past work experience in patient / family communication responsibilities in a front office medical or dental position
Skills: answer phones, assemble and organize numerical data, balance figures, clinical documentation, communicate with others to gather information, compute totals, customer service, maintain filing systems, prioritize different projects, schedule appointments, understand and apply policies and procedures, use database and/or word processing software, verify calculations. Machine/Equipment: calculator, computer network, computer peripheral equipment, fax, desktop computer, photocopier

Manager, Dental Clinical Appeals, RDH Resume Examples & Samples

Manages and is accountable for professional employees, i.e. RDH
Communicate with UnitedHealthcare dental directors regarding appeals recommendation rationales and benefit interpretations with escalated cases/issues when own team is involved
Manages and runs appropriate own team meetings to ensure compliance with requirements, i.e. TAT, and other compliance/regulatory requirements. Also includes the quality oversight of her team and IRR
5+ years Quality Management experience desirable
High level of computer skills, typing, word processing, presentation, and spreadsheet applications skills
Excellent Internet researching skills

Dental Director Resume Examples & Samples

Direct proactive dental preventative health and quality assurance endeavors. Leverage medical, wellness opportunities through improved dental health. Provides leadership for the following functions/units: claim grievance and appeal process, utilization review and special investigations
Oversee dental policy development and administration. Responsible for all clinical aspects of dental policy, quality assurance, claim adjudication, grievance and appeal processes, product design, contractual provisions and professional communication. Oversees the hiring, administration, and performance evaluation of dental advisors/consultants performing pre-payment and post-payment reviews of submitted claims
Leads the development and implementation of innovative and effective dental provider network strategies and holistic sourcing while anticipating and responding to emerging issues in provider services
Leads the provider communication functions and ensures positive provider network relations
Communicate professional concepts to a variety of audiences. Serves as the liaison to the local professional dental community. Represents Starmount Life in industry, governmental and public relations capacities
Perform normal personnel and administrative duties including: planning, budgeting and employee development, performance management, bonus incentive programs, taking corrective action where necessary, representing the division on task forces and project teams
Direct the development of long-range goals and objectives and recommend their adoption by senior executives. Prepare plans and programs for attainment of approved objectives
Act as a clinical spokesperson for the company either in promotional endeavors or in support of the sales process
Doctorate in Dental Surgery (DDS) or Dental Medicine (DMD) degree required
Masters in Business Administration (MBA) degree preferred
Minimum 3-6 years of dental clinical experience required
Minimum of 4 years of service experience as a dental consultant for an insurance company or DHMO required
5 or more years of progressive management experience in health/dental insurance professional relations environment
5 or more years in a senior management role (e.g., C-suite, CQO, CDO, EVP, SVP, VP) preferred
Solid working knowledge of the inclusion of dental benefits, current industry trends, dental FFS/DHMO, and PPO products, utilization review, dental policy, quality assurance and provider reimbursement
Strong interpersonal skills, excellent problem resolution abilities, project management proficiency and leadership effectiveness
Demonstrated capacity to produce balanced health plan results (quality, outcomes, financial and membership)
A clear track record as a leader, setting direction for free-standing managed care business that has its emphasis in the dental industry
Outstanding written and verbal communications skills
Demonstrated ability to proactively prioritize, adapt to change and execute in a fast-paced environment
Expert skills in Microsoft Office Suite (Excel, PowerPoint, Word, Outlook, etc.)

Dental Laboratory Technician Resume Examples & Samples

Interpret dental laboratory prescriptions and prepare materials and supplies needed to accomplish related tasks
Fabricate and finish high quality conventional dental prostheses and intra oral maxillofacial prostheses in a timely manner
Perform emergency repairs and relines of dental and intra oral maxillofacial prostheses
Conduct routine and prescribed equipment maintenance
Organize and maintain work area to a high level of cleanliness in keeping with laboratory standards
Meet health and safety standards throughout daily job functions
Maintain all required records in an organized manner
Perform other job related duties as requested

Business Director, Dental Facets Coordination Resume Examples & Samples

Lead the business to develop, manage, enhance and govern standard configuration and processes for Dental FACETS enabling progression from current to future state
Serve as Dental business owner of Dental Facets upgrade project
Stay abreast with new and emerging functionality in FACETS, assessing possible opportunities for improving payment integrity and managing cost of care
Ideate complex solutions involving cross-functional teams related to payment integrity; systems integration, business process and clinical solutions
Develop and execute capital and non-capital projects through the entire lifecycle from ideation to capital funding to RSA to testing and implementation
Prepare blueprint of current FACETS system and technical architecture, which includes: technology, platform, deployment, system interaction and software & hardware infrastructure
Serve as a FACETS and Workflow product expert; configure FACETS and FACETS Workflow and lead others in the configuration process
Proactively communicate and collaborate with external and internal customers to analyze information needs and functional requirements and deliver project artifacts: functional requirements; business requirements, cost-benefit analysis, project plan/timeline, test plans
Help with the definition, validation and approval of business and technical requirements to ensure both feasibility and completeness of solutions
Lead project management activities for new implementations, upgrades, infrastructure, initiatives and special projects
Analyze business requirements, objectives and methodology to determine best practices
Lead a team of Subject Matter Experts
Bachelor's Degree or equivalent experience
5+ years of experience with the FACETS system
3+ years of experience leading medium to large healthcare capital projects and 8+ years of related work experience
2+ years of dental experience
Intermediate skill level with Excel and PowerPoint
Possess strong analytical skills including a thorough understanding of how to interpret customer business needs and translate them into business configuration and operational requirements
Excellent verbal and written communication skills and the ability to interact professionally with executives, managers, and subject matter experts
Experience implementing payment integrity solutions including utilization management
Related work experience in the healthcare industry
Experience with SAS data modeling and SQL programming

Dental Treatment Plan Coordinator Resume Examples & Samples

Assist the patient in prioritizing the treatment and establish a plan for scheduling and payment
Conduct financial consultations with all new patients and with existing patients when new treatment plans are presented
Manage and maintain the payment options and policies for patients to uphold the practice’s financial integrity
Understand the practice’s policy on working with dental benefit plans and be prepared to educate patients on their dental benefits
1-2 years experience presenting dental treatment plans
Experience working with various dental insurance plans
Dental office experience is a must

Dental Laboratory Technician Resume Examples & Samples

The fabrication of quality prosthetic denture products in accordance with established protocols
Complete prosthetic repairs, relines and re-bases according to established protocols
Follow a laboratory pan schedule to ensure the timely delivery of prosthetic products to patients
Preparation of laboratory supply orders in accordance with established protocols, adhering to determined budgetary guidelines
5 + years working in a dental laboratory
Must possess a positive attitude and ability to work well with others
Must be hard-working and self-motivated
Must possess great customer service skills when interacting with our dental customers and our fellow employees
CDT or advanced training in dental lab technology preferred
Min. 3 years proven experience with the complete fabrication of quality prosthetic denture products preferred

Dental Treatment Plan Coordinator Resume Examples & Samples

3 years of experience working in a dental office
Must have experience presenting dental treatment plans
Knowledge of insurance plans (HMO/PPO)
Experience answering telephone
Must have exceptional customer service skills

Dental Regional Manager Resume Examples & Samples

Two or four year business degree or equivalent business experience
Working knowledge of computer applications such as Microsoft Word, Excel, Outlook
Experience with dental office management software
Supervision or management of multiple dental offices and staffs
Knowledge of effective and efficient dental office operations and production concepts
Able to travel as needed to various regional offices
Must have a comprehensive understanding of the complete business side of dental office operation and management to include IT, Payroll, Collections, Recall Systems, etc

Dental Regional Manager Resume Examples & Samples

Must have proven strong leadership and management experience
Must have experience managing a large staff
Must have experience managing multiple dental offices
Must be able to travel as needed to various regional offices
Must have a comprehensive understanding of the complete business side of office operation and management to include IT, Payroll, Collections, Recall Systems, etc
Sales experience, a plus
Must have strong business acumen

Dental Service Specialist, Hkop Resume Examples & Samples

Assesses and coordinates student patient appointments based on Dental Hygienist triage and screening protocol
Collects, organizes and maintains student consent forms, screening documents and report cards as needed for clinic organization and connections to care
Coordinates donations of resources and supplies as well as assisting with fundraising events including sponsorship recruitment
Communicates and coordinates with HKOP nursing staff and dental team to expedite referral for services and assistance with local resources
Manages and maintains child dental records for school district children
Organizes, schedules and delivers hands on Dental Learning Lab for grades K-8 at assigned schools and assists as needed at other sites
Coordinates and schedules volunteers for Dental Learning Lab
Compiles all school aged dental outcome data both for clinic and educational data. Coordinates and collects child dental outcomes with Dental program partners such as Advantage, Head Start, etc. Prepares and provides outcome data in format ready for Grant Funder Reporting
Dental assistant training and one (1) year experience in the dental field OR equivalent required
Health Education experience preferred
Knowledge of clinical aspects of dental care, good organization skills, communication skills, follow-up and initiative are required
Must possess the ability to coordinate multiple projects simultaneously
Must be able to apply administrative concepts and create meaningful operational plans, services and educational programs
Computer proficiency with Microsoft Office software required

Senior Associate, Pew Dental Campaign Resume Examples & Samples

Assist in the process of designing and implementing state-based legislative campaigns, selecting new campaign states, and assisting the campaign team in monitoring state campaign progress
Develop contacts and build relationships with state policy makers and state and local advocates in oral health to collect information and track state policy and advocacy efforts
Implement advocacy strategies to expand the dental workforce and make better use of existing workforce models
Lead efforts to provide technical assistance to state partners to aid them in developing effective advocacy strategies as assigned
Work with Pew Dental Campaign staff, state partners, and communications staff to develop strategic communications strategies for campaigns, including potential use of polls, ads, social media, and talking points for advocates and legislative champions
Help prepare policy briefs, fact sheets, and public education campaign materials and develop strategies for their effective dissemination
Monitor and identify emerging state policy issues relevant to the campaign and its priorities
Help develop and support the work of a group of dentists across the country who share Pew’s workforce goals
Draft and review contracts
Organize and coordinate state-to-state, regional, and national networking meetings and conferences
Develop and maintain an understanding of emerging oral health issues by monitoring publications and participating in conferences, seminars, and other professional development activities; and
Contribute to and participate in broader Pew-related projects and activities as assigned

Dental Hygiene Resume Examples & Samples

Graduate of a CODA accredited dental or dental hygiene program
Current dental or dental hygiene license
Bachelor degree in dental hygiene or a related discipline
Three years of dental or dental hygiene clinical practice experience
Recent teaching experience in dental or dental hygiene education is desirable
Knowledge and understanding of the fundamentals of effective communication and of effective instruction
Knowledge and understanding of the characteristics and challenges of community college students
Knowledge and understanding of principles of curriculum development

Dental Hygiene Didactic Adjunct Faculty Resume Examples & Samples

Provide a syllabus for each class taught including, at minimum, course & instructional objectives, topical outline, evaluation methods
Provide classroom or laboratory instruction to students aimed at achieving course objectives
Utilize teaching methods appropriate to course content and objectives and in keeping with the widely accepted practices, values, and culture of higher education
Evaluate student performance objectively, consistently, fairly, and provide constructive feedback to students in a positive and professional manner
Keep accurate and complete records of grades and other measures of student achievement, including attendance
Submit semester grades for each student in each class according to institutional academic policy. and submit end of semester curriculum review to the program coordinator
Encourage student achievement while maintaining objective standards of academic performance and professional conduct
Maintain student confidentiality and respect for privacy in accordance with institutional policy
Maintain appropriate professional credentials and competencies by taking advantage of relevant continuing education and professional development opportunities
Represent and support program in a professional manner to both internal and external constituencies
Participate in curriculum development or review and the assessment of student learning outcomes within the program
Assist program director with the preparation of self-study documentation to meet accreditation standards as defined by the Commission on Dental Accreditation
Coordinate Student ADA accommodation requests following college policy and procedures
Complete all required training and follow SLCC policies and procedures
Accept other duties as assigned

Dental Hygiene Faculty Resume Examples & Samples

Graduation from an American Dental Association Commission on Dental Accreditation dental hygiene program with a Bachelor's degree* AND 2 years of full-time (or part-time equivalent) experience as a registered dental hygienist; OR
Graduation from an American Dental Association Commission on Dental Accreditation School of Dentistry AND two years of full-time (or part-time equivalent) experience as a dentist; OR
The equivalent. If you do not possess the minimum qualifications, exactly as listed above, you must file for equivalency. If claiming equivalency, applicants are responsible for documenting all course work, degree programs and related professional experience at the time of application; AND
Current licensure in California as a registered dental hygienist or a dentist (as appropriate) AND clinical competency in all dental hygiene procedures; AND
Current clinical competency and knowledge of the specific subjects taught in the clinic; AND
Documented background in educational methodology consistent with the teaching assignment
Sensitivity to, and understanding of, the diverse academic, socioeconomic, cultural, disability and ethnic backgrounds of the SRJC students
Bachelor's degree or 120 semester units, all semester or equivalent units must be earned from a regionally accredited postsecondary educational institution. At minimum, all coursework taken must satisfy general education requirement for the AA degree at Santa Rosa Junior College
If you do not meet the minimum qualifications exactly as stated, you must complete and attach the Equivalency Application and supporting documents to your Employment Application -Faculty/Adjunct Faculty Equivalency Application. Information on SRJC Faculty Equivalency Procedures can be found at Board Policy 4.3.2bP
A cover letter explaining your interest in the position, including how you meet the requirements and are qualified to perform the duties as listed in the "Position Description" section of this announcement
If applicable, copy of California Community College Credential (both sides)
Proof of California licensure as a Registered Dental Hygiene; OR Proof of California licensure as a Dentist

Dental Hygiene Resume Examples & Samples

Plan and organize instruction in ways which maximize student learning
Meet scheduled classes in accordance with college policy
Modify, where appropriate, instructional methods and strategies to meet diverse student’s needs
Employ available instructional technology when appropriate
Maintain confidentiality of student information
Exercise stewardship of College facilities and materials
Attend departmental, divisional and College meetings and events as feasible

Dental Practice Specialist Resume Examples & Samples

Minimum of three (3) years of field sales experience
Bachelor's degree in business or a medical/healthcare discipline
Minimum of three (3) or more years dental industry sales experience
Experience maintaining and growing a multi-million dollar territory which includes Key Accounts
Experience selling through distribution
Experience with Customer Relationship Management (CRM) software
Presentation skills and experience with Microsoft Office, PowerPoint, and Excel

Dental Claims Specialist Resume Examples & Samples

Reviewing unpaid insurance claims report
Identifying outstanding insurance
Reviewing insurance explanation of benefits for payment accuracy
Update fee schedules
Billing – file all insurance – primary/secondary with insurance companies
Confirm pre-authorizations for treatment
Reviewing insurance denials for accuracy and follow-up
Submitting appeals to insurance company
Other duties as needed
2 years' of experience working with dental or medical insurance billing
Superior customer service skills

Manager, Dental Clinical Appeals, RDH Resume Examples & Samples

10 + years clinical practice experience
2+ years Quality Management experience desirable
High level of experience with claims coding and review a definite plus

Dental Claims Reviewer Senior Associate Resume Examples & Samples

Examines and processes dental paper claims and/or electronic reviewer claims
Determines whether to return, pend, deny or pay claims within policies along with determining steps necessary for adjudication
Follows established departmental policies and procedures, operating memos and corporate policies to resolve claims and claims issues
Settles claims with claimants in accordance with policy provisions
Compares claim application and/or provider statement with policy file and other records to evaluate completeness and validity of claim
Interacts with agents and claimants by mail or phone to correct claim form errors or omissions and to investigate questionable entries
Licensed Dental Hygienist or Registered Dental Assisting background a PLUS
At least 1 year of working experience and/or knowledge with dental terminology and treatment allowances
Ability to work in a fast paced environment with critical thinking and problem solving skills
Demonstrated proficiency in using PC Software and high capacity to multitask independently or while using a computer

Dental Removable Prosthetic Laboratory Technician Resume Examples & Samples

Removable lab experience in the following: same day removable prosthetic repairs including hard denture relines, partial/denture repairs, adding teeth to partials/dentures
Bite Registrations ---Partial/Denture work to include: arranging teeth for complete and partial dentures ...Investing complete and partial dentures for processing ...Boil out and packing ...Finishing and polishing acrylic dentures ...Bending wire for clasps or partial dentures
Proper maintenance of equipment ---Lab supply maintenance
Organizational skills for managing the log of incoming and outgoing cases, and overseeing patient schedules to ensure cases ready on time for appointments
Fabrication of bleaching trays and occlusal splints (bite guards) ---Proficiency in understanding occlusion and function

Group Dental Claims Approver Resume Examples & Samples

Follow-up on claims pending for additional information utilizing On-Line Diary and iProcess reports on a daily and weekly basis
Ability to work under pressure, time management and organizational skills required
PC experience
Strong math aptitude

100

Manager Dental Operations Resume Examples & Samples

Handles and resolves patient complaints/grievances as per policies and procedures to ensure optimal customer satisfaction. Handles and resolves staff complaints/grievances to ensure positive working environment
Seeks opportunity to collaborate with other agencies in promoting dental program services
Ensure the clinic sites and records are audit ready
Develop, implement, and maintain updated Dental Clinic protocols and ensure all Dental Clinic staff and providers are updated on all policies and procedures
Attends and contributes to Management, Staff, Quality Assurance, and all meetings the Operations Manager is invited to attend
Oversee patient billing/certification procedures for all Dental Clinic services
Assist in the development and implementation of special dental projects
Maintains compliance with all federal, state and local regulatory bodies at all times
Ensure all clinic staff receives appropriate training and education, as appropriate
Establish and maintain liaisons with community-based resources
Assist in the development and implementation of special projects
Ensures a positive and professional working relationship for all staff and patients
In partnership with the Program Dental Director, the Manager Dental Operations is responsible for the planning, implementation and monitoring of the daily practice operations at all sites
Responsible for recruitment, retention and competency of all staff working at the sites. Manages practice staff to ensure positive patient/family experience. Establishes staffing schedules that support the clinical program, effective care delivery, and manages costs effectively
Initiates and supports process improvement activities that enhance the provision of clinical services, improve clinical outcomes and increase patient satisfaction
Establishes objectives and benchmarks to evaluate operational success for sites managed and prepare reports to inform management team of status and progress towards goals
Builds and supports effective relationships with and between all individuals including staff, physicians, the community, patients, families, volunteers, and colleagues to assure the delivery safe, quality patient care. Creates and sustains a culture based on trust, mutual respect, and common understanding of needs
Maintains inter and intra departmental relationships across the network to effectively promote the strategic operational goals of the network
Participates and collaborates with local community programs as appropriate to JPS strategic goals
Prepares annual budget ensuring financial stewardship for the facility in both operational and capital acquisition processes. Maintains an adequate system for internal control over financial interactions
Bachelors or Associates Degree in business or a health related field from an accredited University
Knowledge of dental clinic operations with at least five years of clinic management experience
Clinical dental experienced as a dental hygienist or dentist

101

Patient Accounts Rep-dental Clinic Resume Examples & Samples

Assist with patient scheduling and registration
Perform cashiering, billing, refunds to patient and third parties, payment plans, and collections
Work in conjunction with the Assistant Manager of Patient Accounts to help reach and maintain financial and accounts receivable goals for the clinic
The position requires strict compliance with all policies and procedures
This position requires a significant amount of interaction with the public and many internal customers and therefore, the individual must be able to develop positive rapport effectively

102

Claims Lead-dental Resume Examples & Samples

Enter claim data accurately and timely according to the production goals
Ensure claim payments are made within time frames written in contractual agreements
Verify payment is not duplicated
Correctly adjudicate claims for contracted/ non-contracted providers
Ensure appropriate payment of capitated and fee-for-service providers
Refer claims that have already encountered to State for adjustments when applicable
Review CPT, HCPCS, ICD-10 and ASA coding to ensure that claims are billed in compliance with CMS and Correct Coding guidelines
Verify presence of all required data fields and that applicable medical records are included (when required)
Verify that services billed are covered services
Confirm that an authorization exists for services that require prior authorization
Identify and refer third party liability or co-ordination of benefits issues to the COB/TPL Coordinator
Refer claims for medical claim review when necessary
Refer questionable issues to Claims Supervisor
Determine whether claims meet the outlier threshold and apply appropriate outlier payment when applicable
Adjudicate claims submitted via electronic submissions
Identify and refer potential fraud and abuse cases to the Grievance Department
Claims are processed within the allotted time frame provided by regulatory agencies
Staff is maintained at an adequate level
Policies and procedures are updated annually, or as needed
Staff is maintained at an adequate level and receives appropriate training to perform job
Staff have clearly defined and up-to-date job descriptions with specific goals and objectives
Employee issues (performance, behavior, compliance with policies, etc) are addressed timely and appropriately in accordance with company policies
Demonstrated leadership qualities and skill applications build cohesiveness within the department, increasing effectiveness and efficiency throughout the department
Prompt identification and communication of recognized trends and/or issues facilitates opportunities to develop and implement process improvements
Requests are appropriately evaluated as needed
Staff is kept up-to-date regarding system updates and new processes
IS and Claims work together toward mutual goals
Demonstrated leadership qualities build cohesiveness within the department, and increases effectiveness and efficiency throughout the department

103

Adjunct Faculty, Dental Hygiene Resume Examples & Samples

Instructs Dental Hygiene students in the lab and clinic
Serves on departmental committees as needed
Knowledge of effective instructional techniques and innovative modes of course delivery adaptable to a variety of learning styles
Working cooperatively with colleagues
Building and maintaining relationships
Verbal and written communication
Effective planning, organizing, communication, and interpersonal skills including use of tact and discretion in a complex, fast-paced environment
Effectively assisting and assessing student learning
Interacting with students of diverse backgrounds
Maintaining confidentiality of student information
Demonstrated proficiency using computer applications, online resources, and other technologies for the classroom and online learning as well as to develop and build course content and perform administrative duties (posting office hours, syllabi, grades, etc.)
Three years clinical experience as a licensed dental hygienist
Work experience teaching at a community college or university dental hygiene program
In accordance with SACSCOC accreditation standards, Associate degree or Certificate of Completion in Dental Hygiene. SACSCOC requirements may differ depending on the courses taught within the discipline. For specific requirements by course, please see the current year Faculty Qualifications Table located at http://www.austincc.edu/faculty/credentials/
Proficient in conversational Spanish

104

Dental Laboratory Resume Examples & Samples

Fabricate and repair dental prostheses, bridges, crowns, inlays, pontics, splints, stabilizers and space maintainers
Use precious and nonprecious metals, acrylic resins and porcelain as basic materials
Perform minor maintenance on laboratory equipment

105

Dental Consultant Liaison Resume Examples & Samples

Review each procedure request according to the specific clinical criteria/guideline
Approve claims that meet the liaison guideline and refer all others to the dental consultants. Does not evaluate or interpret clinical information
Review provider practice patterns that are outside of the norm
Apply policy provisions and knowledge of company philosophy to ensure compliance with the contract, legal requirements and guidelines established by various state and federal regulations, URAC standards and “Best Practices and Procedures” within Customer Connections and Operations. Partner with Group Compliance to assure requirements are implemented appropriately
Proficient in using the claims/image system and various sub-systems. Knowledge of various contracts including PPO, special marketing arrangements and service guarantees. The individual must be sensitive to arrangements requiring them to represent strategic alliances
Contact dental offices to interpret procedures and obtain information and/or supporting documentation
Serve as liaison between the Customer Connections associates and dental consultants
Analyze claim discrepancies to ensure claim is processed accurately and make appropriate adjustments
Screen claims to determine areas of associate development and possible system enhancements
.Assist the Dental Liaison Records Specialist when needed
Assist in the mentoring of associates as assigned by department management
Additional responsibilities as assigned by department management
Evaluate adjudication process to determine if system logic is appropriate

106

Dental Orthodontics Assistant Resume Examples & Samples

Obtains alginate impressions for diagnostic and/or intra-oral appliances
Maintains equipment and medical supplies in clean working order
Maintains examination areas in a clean, adequately stocked and organized condition
In Pediatric setting, assists dentist with using four-handed dentistry including amalgams, composites, stainless steel and esthetic crowns, extractions, and pulpotomies
Assists with use of nitrous oxide, conscious sedation, and during general anesthesia in the surgical services setting
In Orthodontic setting
One (1) year of experience as a Registered Dental Assistant in a dental, orthodontic or oral surgeon's office is required

107

Dental / Medical Production Operator Resume Examples & Samples

To manufacture, hand finish, inspect and package dental/medical implants to defined standards
To follow all relevant instructions, both written and verbal, and highlight any deficiencies observed in the process
To use the skills and techniques acquired during training, to work in an efficient and quality-conscious manner so that implant quality and delivery schedules are met
To inform supervision of any problems that exist which may affect the quality of the product
Undertake machine setting (following successful completion of in house training)
To work sensibly and safely at all times, ensuring compliance with Health and Safety regulations and reporting all Health and Safety concerns immediately

108

Dental Product Specialist Resume Examples & Samples

Recommends product opportunities based on clinical and working knowledge of features and benefits of dental products used in a dental practice
Maintains a current understanding of product and regulatory knowledge
Prepares and presents product information for external and internal customers
Works with the pricing team to develop product substitutions to create more profitable bids by evaluating and making product recommendations
Maintains detailed and organized files, particularly related to product substitutions and matches
Collaborates with the inside staff to assist with product questions, and opportunities for streamlining customers formularies and processes
Assists sales personnel in understanding our product offerings and costs
Ability to work in a fast paced and constantly changing environment
Ability to maintain professionalism when faced with conflict and lead stakeholders toward creative and mutually beneficial results
Trains team members on clinical aspects of products
Other job duties as assigned to the Product Specialist
5 years of chairside dental experience or related dental industry experience
Dental Assisting Certifications preferred
Proficiency in Microsoft Applications, Excel, Word, PowerPoint

109

Senior Dental Technician Resume Examples & Samples

A BTEC National Diploma or Dental Technology degree or equivalent is required and registration with the General Dental Council is essential
Substantial experience of working with fixed and removable prosthodontics
Able to demonstrate professional knowledge within Prosthodontics to give advice and guidance to internal and external customers
Ability to set up standard office systems and procedures and make improvements as appropriate
Evidence of demonstrable knowledge of key advances within specialist discipline
Evidence of ability to work unsupervised to deadlines, planning and setting priorities for own work and that of others and monitoring progress
Fluency in Welsh, written and oral

110

Dental Laboratory Technician Resume Examples & Samples

Knowledge of dental laboratory materials, tools, and equipment to complete complex fixed and removable prostheses with close tolerances
Knowledge of oral anatomy, tooth morphology, and dentition
Knowledge of dental prosthetic appliances
Skill in using dental laboratory tools and equipment
Ability to fabricate very complex dental appliances including crowns and denture

111

Dental Consultant Resume Examples & Samples

AHCCCS Medical Policy Manual,
American Dental Association,
American Pediatric Dentists Association
Completes and communicates reviews to members/providers within HCA timeliness as per HCA policy guidelines, for example: Guidelines: Stat – 1 business day, Urgent – 3 business days, Routine – 10 business days
Decisions are based on documented, sound medical/dental criteria from various recognized internal and external criteria
Completes reviews, as per the HCA policy requirements based on AHCCCS and CMS standards
Provides case review support to the Quality Management unit and the Quality Management Committee, as required
Satisfies Providers, the Prior Authorization Unit and the Utilization Management Committee with the policies
Gives information only to people who need to know in order to perform their job
Keeps sensitive information out of sight when not in use
Looks for improvement of processes
Sees new assigned tasks as challenges and opportunities to learn more
Shares ideas/suggestions with peers and supervisors
Shows pro-active behavior
Interacts and communicates with other staff/departments mainly about job related issues
3+ years of practice experience in a managed care environment

112

Dental Director Resume Examples & Samples

DDS or DMD degree required and an active licensure in at least one state
5 years’ experience as a Dental Director for a dental insurance carrier
5 years’ experience in clinical practice
Excellent public speaking and presentation skills, matrix management and collaborative teamwork experience preferred
Excellent interpersonal skills. Capable of working and communicating well in a matrixed environment with Dental Directors, Sales, Dental Provider Relations; National Appeals Unit, Credentialing, Legal, Policy and Compliance, Healthcare, Service Operations, Marketing; as well as state regulators and auditors
Excellent oral and written communication skills are required
Must be detail oriented, highly organized, deadline driven, and self-motivated
Must possess project management expertise with demonstrated experience in managing multiple projects and priorities
Skilled in the use of Microsoft PowerPoint, Word, Excel, and Outlook
Excellent analytical, quantitative, and problem solving skills
Capable of quickly learning and mastering the intricacies of a variety of IT systems
Experience in the various aspects of a strong Quality Management Program
Strong background in the Credentialing and Recredentialing of dentists
Knowledge of NCQA and other medical/dental quality standards and state specific regulations regarding quality programs
Command of dental terminology, clinical procedures, and benefit language
Financial acumen for assisting in financial analysis. Has demonstrated an ability to analyze financial data
Have the ability to handle multiple, new, and unanticipated responsibilities that arise as a result of tactical and strategic planning
ADA membership is preferred (not required)

113

Sterile Processing Tech-dental Group Resume Examples & Samples

Decontaminates, inspects and assembles all instrumentation, equipment, kits and materials used according to prescribed packages and surgical kits; rejects any defective equipment
Works within hospital and departmental policies regarding safety and infection control. Performs quality control functions and maintains control records for sterilization
Determines the method of sterilization, monitors sterilizer and equipment operations, checks controls, performs chemical and biological testing as required
Must be extremely conscientious with required procedures; must be accurate and willing to follow set rules. Errors seriously impact patient and coworker safety and impact financial operations of this and other departments
Provides positive and effective communication and customer service that supports departmental and hospital operations; contributes to the teamwork within departments and organizations
Decision making guided by general instruction and practices requiring interpretation. Make recommendations for solving problems of moderate complexity and importance
Responsible for the documentation of all supplies leaving and entering the department. Maintains all back-up instrumentation and equipment levels
Assembles O.R. instrument case carts when necessary
The hygienist is to put up flag outside the operatory to signal the processing technician that x-rays need to be developed and mounted. The red flag should be raised to signal that a room turnover or miscellaneous help is needed
The hygiene processing technician is to help turnover all hygiene rooms, sterilize all instrumentation for the practice, clean appliances for patients, and retrieve all supplies and instrumentation that the hygienists need
The hygiene processing technician is to perform all the end of day tasks and weekly maintenance tasks described on the checklists
Understanding of Infection Control procedures and practices
Basic computer skills for instrument management
The ability to read, write, comprehend English and follow detailed technical instructions; ability to communicate appropriately with others in order to fulfill above duties
A thorough knowledge of the care, handling, identification and utilization of surgical and specialty equipment is required
The ability to prioritize tasks, work under pressure and meet deadlines; ability to work independently on routine tasks without constant supervision
Employee must be extremely conscientious with required procedures; must be accurate and willing to follow set rules
The incumbent must be able to work in a fast-paced environment with demonstrated ability to juggle and prioritize multiple, competing tasks and demands and to seek supervisory assistance as appropriate
Work requires manual dexterity, standing walking, lifting and pushing
STANDING WALKING 90%
MUST BE ABLE TO LIFT 15 POUNDS OVER HEAD LEVEL
MUST BE ABLE TO LIFT 25 POUNDS

114

Dental Customer First Representative Resume Examples & Samples

Respond to complex customer calls
Resolve customer service inquiries which could include: claims status and billing and payment issues
Constantly meet established productivity, schedule adherence, and quality standards
Answer member calls in a professional and courteous manner
Follow up if necessary in a timely manner
Accurately process claims according to documented procedures
Obtain accurate information using multiple resources
Excellent attendance is a must
Ability to work in a production driven environment
Responsible for providing expertise and customer service support to members, customers, and / or providers
Direct phone-based customer interaction to answer and resolve a wide variety of inquiries
Training time-frame is approximately five weeks and hours for training are 8:00 a.m.- 4:30 p.m
High School Diploma / GED OR 10+ years of equivalent working experience
Must be available between the hours of 7:00 a.m. – 7:00 p.m., Monday - Friday
Must be available to work overtime as business needs require
Ability to input data onto Microsoft Excel spreadsheets
Ability to navigate and create emails in Microsoft Outlook
1+ years of Customer Service experience analyzing and solving customer's problems, OR 1+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
Ability to multi-task, this includes ability to take incoming phone calls; when not on the phone will process claims
Ability to navigate multiple computer programs while on the phone
Ability to remain focused and productive each day though tasks may be repetitive

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