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Mark B

Dental Director

Occupation:

Dental Assistant

Location:

Lawrence, NY

Education Level:

Doctorate

Will Relocate:

No

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As a dental professional, I have applied my hands-on clinical experience as a dental consultant for third party administrators. Now in pursuit of new opportunities, I would be pleased to apply my clinical and administrative knowledge, as a consultant for dental insurance companies or third party administrators.

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 Hired by ASO/SIDS to work with a 70,000-member union to address concerns about questionable treatment by dental providers. Researched and evaluated various offices to assess quality assurance, which resulted in improving certain offices, while removing other doctors from the panel of approved providers.  Interfaced with doctors, colleagues, union members, and insurance providers to evaluate individual requirements of the specific insurance/union plans, articulate proper protocol of treatment, and to determine approval or denial of benefits.  Managed a portfolio of 200 pre- and post-treatment authorization forms daily for all major dental treatments in accordance with union insurance plan requirements at DDS.  Utilized dental expertise to advise attorney’s on malpractice cases. Researched, investigated, and provided expert witness testimony and authored extensive reports to influence the successful completion of cases.  Mentored and advised colleagues and junior staff on addressing and resolving authorization forms in accordance with standard operating procedures, guidelines, policy regulations, and laws.
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