Overview

The Quality Management Coordinator is an in-office position, responsible for assisting with the preparation of dental records (charts and x-rays), opening new grievances, and managing payer and dental board complaints. This position ensures all grievances and appeals are processed in a timely manner and that data is entered accurately. The QM Coordinator plays a key role in maintaining member satisfaction, regulatory compliance, and quality improvement initiatives.

Responsibilities

• Receive, document, and acknowledge grievances and appeals within required timeframes.
• Investigate complaints involving dental benefits, claims processing, provider services, and quality-of-care concerns, including research and follow-up with dental offices.
• Prepare dental records, including patient and office history, dental ledgers, and clinical documentation.
• Collaborate with internal ...