Under minimal supervision, the Dental QA Associate supports quality assurance activities related to dental claims review, compliance, and process accuracy. This role requires strong dental knowledge, attention to detail, and the ability to analyze clinical and administrative documentation. Assists in delivery of a documented quality plan for the performance of quality assurance activities for assigned project or task. Conducts assessments and evaluations through analysis and interpretation of objective and subjective evidence to verify compliance to standards and applicable quality plans. Reviews dental claims, anesthesia records, and dental X-rays to determine level of process and product quality. Reports findings and escalates unresolved issues to appropriate level. Evaluates work products to assess quality and reports findings. Researches alternative solutions to problems, determines proper approaches, and makes verbal and/or written recommendations to appropriate parties. Gathers, uses, and independently analyzes defect metrics data. Communicates analysis findings verbally and through the preparation of periodic written reports. Utilizes intermediate Excel skills, including shared worksheets and tracking tools. Participates in special projects, external audits, and process improvements in support of quality assurance initiatives while working independently with integrity.
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Job Type
Full-time
Career Level
Mid Level